Wilson Standard Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILSON STANDARD WELLNESS

Practice address

100 N Main St Ste 12
Edwardsville, IL 62025-1981

Phone

(618) 513-9744

NPI assigned

Jan 29, 2026

Organization subpart

No

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

Authorized official

Name

Kaitlyn Wilson, LCPCNPI 1245960343

Title

Owner/Therapist

Phone

(618) 513-9744

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlyn Wilson

  • Professional Counselor
  • Edwardsville, IL
  • NPI 1245960343
  NPD Authorized official

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1104776376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST STE 12",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST STE 12",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251981",
            "telephone_number": "618-513-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON STANDARD WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "618-513-9744",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Williams, RN IBCLC
• Brianna Williams
• Charles Williams, DMD
• Dylan Stephan Williams, RN
• Kirstie Ali Williams
• Destiney Wilson
• Kaitlyn Wilson
• Avonna K Wise, RN
• Witt and Wisdom Counseling PLLC
• Michelle R. Witt, LCSW

• Professional Counselor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.