Active NPI
Peter Franklin Wilson, ED.D.
- Counseling Psychologist
- Hendersonville, TN
National Provider Identifier
1083142384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- P1693
- Practice address
- 105 Music Village Blvd
Hendersonville, TN 37075-2714 - Phone
- (615) 824-3772
- NPI assigned
- May 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | P1693 | TN | Primary |
Addresses
Primary practice location
105 Music Village Blvd
Hendersonville, TN 37075-2714
Mailing address
3634 Homeland Dr
Nashville, TN 37218-1514
Phone (615) 473-4759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1693 | TN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1083142384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3634 HOMELAND DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372181514",
"telephone_number": "615-473-4759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MUSIC VILLAGE BLVD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752714",
"telephone_number": "615-824-3772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PETER",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-31",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "P1693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.