Brian Craig Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00756500 Issued in NJ

Practice address

498 Newark Pompton Tpke
Pompton Plains, NJ 07444-1930

Phone

(973) 839-3060

NPI assigned

May 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Birch Tree Psychology

  • Clinical Psychologist
  • Pompton Plains, NJ
  • NPI 1649719766

  Professional

  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1083289979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 LEHIGH ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813117",
            "telephone_number": "201-741-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441930",
            "telephone_number": "973-839-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRIAN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00756500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianwilson@birchtreepsychology.net",
            "affiliation": "N",
            "address_1": "498 Newark Pompton Tpke",
            "city": "Pompton Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074441930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Weber, APN
• Werbak Inc (Pompton Pharmacy)
• West Parkway Ambulatory Surgery
• Cynthia M Wills, LCSW
• Edwin Scott Wills, PT
• Matthew Withers, M.A.
• Sarah M Wolosin, OTR/L
• Martha Olinda Yaghi, RN
• Tak Man Yan, NP
• Ykr Orthopedics

• Professional Counselor in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.