Lori Wilson

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

1006 E Yager LN
A 104
Austin, TX 78753-7088

Phone

(512) 385-4799

Fax

(512) 385-4838

NPI assigned

Aug 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Changing How I Live Life

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
  • NPI 1487977583

  Case Management

  NPD (past) Authorized official

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1114473592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 E YAGER LN",
            "address_2": "A 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787537088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 E YAGER LN",
            "address_2": "A 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787537088",
            "telephone_number": "512-385-4799",
            "fax_number": "512-385-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "5006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04-3689304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Wilson, M.D.
• Leigh Herrin Wilson, PA-C
• Leslie Ann Wilson
• Linda Ornelas Wilson, M.D.
• Lisa Wilson
• Mariam Wilson
• Mark L Wilson, N.P.
• Martha Tae-Anyene Wilson, D.O.
• Melissa Vance Wilson, LPC
• Nikeeta Wilson

• Case Management Agency in Austin, TX
• Providers in Austin, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.