Individual provider Active NPI

Aliyah Wilson, M.ED., LPCC

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1093235566
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2102295 Issued in OH
Practice address
7031 Corporate Way Ste 103
Dayton, OH 45459-4262
Phone
(937) 619-9089
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1700415 OH
Mental Health Counselor 101YM0800X E.2102295 OH Primary

Addresses

Primary practice location

7031 Corporate Way Ste 103
Dayton, OH 45459-4262

Mailing address

24781 Picone LN
Bedford Heights, OH 44146-1948
Phone (216) 513-7044

Other practice location 1

22001 Fairmount Blvd
Cleveland, OH 44118-4819
Phone (216) 932-2800

Other identifiers 1

IdentifierTypeStateIssuer
0266775MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aliyah@risecounselinggroup.com Direct

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C.1700415OHMDCounselor
E.2102295OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
De'Asia L. Thompson, Lisw, LLC PastSince May 8, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1093235566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24781 PICONE LN",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461948",
            "telephone_number": "216-513-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 CORPORATE WAY STE 103",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594262",
            "telephone_number": "937-619-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441184819",
            "country_code": "US",
            "telephone_number": "216-932-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALIYAH",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1700415",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266775",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aliyah@risecounselinggroup.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7031 Corporate Way Ste 103",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.