Kelley Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7200 Issued in FL

Practice address

5131 Manatee Ave W
Bradenton, FL 34209-3740

Phone

(941) 792-0802

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradenton Best Life Counseling Center LLCGroup PAC ID 6608273297, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bradenton Best Life Counseling Center LLC

  • Clinical Psychologist
  • Lakewood Ranch, FL
  • NPI 1962097329

  Mental Health

  Medicare reassignment Care Compare group NPD
• Bradenton Counseling Center, Inc.

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1639472939
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1104244474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 LOBLOLLY BAY TRL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024167",
            "telephone_number": "941-238-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093740",
            "telephone_number": "941-792-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Choate Wilson, LMHC
• Claudia Wilson, ARNP
• Deborah Mae Wilson, PTA
• Elizabeth Wilson, ARNP
• Julie Keebler Wilson
• Kristina Swetland Wilson, P.T., D.P.T.
• Lucas Robert Beattie Wilson, DC
• Richard Waide Wilson, PHARMACIST
• Tiona Wilson, MSW
• Shandrica Wimberly

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.