Active NPI
Ramona J Wilson, LPC
- Professional Counselor
- Smyrna, GA
National Provider Identifier
1114535408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008213
- Practice address
- 4684 Wehunt Commons Dr SE
Smyrna, GA 30082-7312 - Phone
- (470) 439-7415
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC008213 | GA | Primary |
Addresses
Primary practice location
4684 Wehunt Commons Dr SE
Smyrna, GA 30082-7312
Mailing address
4480H S Cobb Dr SE # 581
Smyrna, GA 30080-6958
Phone (470) 439-7415
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC008213 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1114535408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480H S COBB DR SE # 581",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806958",
"telephone_number": "470-439-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4684 WEHUNT COMMONS DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300827312",
"telephone_number": "470-439-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RAMONA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.