Jennifer Erin Wilson, M.C., C.P.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC 60547904 Issued in WA

Practice address

2743 California Ave SW
Suite 301
Seattle, WA 98116-2495

Phone

(206) 383-5309

NPI assigned

May 7, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jennifer Erin Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 12, 2024 through Aug 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jenny Wilson Counseling

  • Mental Health Counselor
  • Bainbridge Island, WA
  • NPI 1942035894

  Addiction (Substance Use Disorder)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1073991394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ALASKAN WAY",
            "address_2": "#422",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011075",
            "telephone_number": "206-383-5309",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW",
            "address_2": "SUITE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162495",
            "telephone_number": "206-383-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "M.C., C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60547904",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60627320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILSON",
            "middle_name": "ERIN",
            "prefix": "MS.",
            "credential": "MA, LMHCA, CDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hugh A Wilson, D.C.
• Hyacinth Wilson, PHARM D.
• Ian Thomas Wilson, BA, AAC, CDPT
• Jamie Ryker Wilson, SUDP
• Jasmine Wilson, LMHC, MT-BC
• Jennina Wilson, CNM
• Jordan Wilson
• Joshua Michael Wilson, MD
• Julia Louise Wilson, MD
• Julie Ann Wilson, M.A., L.M.H.C.A

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.