Individual provider Active NPI

Patricia Ashley Wilson-Everett, CPC-I

  • Professional Counselor
  • Reno, NV
National Provider Identifier
1114698974
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5680 Issued in NV
Practice address
1135 Terminal Way Ste 208B
Reno, NV 89502-2168
Phone
(775) 322-3668
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C15040 NV
Professional Counselor 101YP2500X CP5680 NV Primary

Addresses

Primary practice location

1135 Terminal Way Ste 208B
Reno, NV 89502-2168

Mailing address

1135 Terminal Way Ste 208B
Reno, NV 89502-2168
Phone (775) 322-3668

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

LicenseStateTypeSpecialty
C15040NVMDCounselor
CP5680NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Jan 1, 2024 Accepting new patients

Locations

1135 Terminal Way
Ste 208B
Reno, NV 89502
Phone (775) 322-3668

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1114698974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 TERMINAL WAY STE 208B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022168",
            "telephone_number": "775-322-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 TERMINAL WAY STE 208B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022168",
            "telephone_number": "775-322-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-EVERETT",
        "first_name": "PATRICIA",
        "middle_name": "ASHLEY",
        "credential": "CPC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "C15040",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.