Angela K. Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005354 Issued in GA

Practice address

300 Broadway Ave
Post Office Box 637
Braselton, GA 30517

Phone

(706) 447-9050

NPI assigned

Dec 13, 2012

Last updated

Aug 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1093051351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "address_2": "300 BROADWAY AVENUE",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305170011",
            "telephone_number": "706-447-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY AVE",
            "address_2": "POST OFFICE BOX 637",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "30517",
            "telephone_number": "706-447-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANGELA",
        "middle_name": "K.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Monet Whitley, RBT
• Ryan T Whitney, MD
• Diamond Wilder, ACNPC-AG
• Ashley Lauren Williams, MD MPH
• Heather Williams
• Michael Donavan Wilson
• Hannah Witherell, RN
• Becky Diane Woodson-Allen, CRNA
• Oluyemi Workman
• Youjin Yoo, MD

• Professional Counselor in Braselton, GA
• Providers in Braselton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.