Individual provider Active NPI

Crystal Zacarias Wilson, LPC

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1114817327
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875
Phone
(316) 660-9600
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875

Mailing address

2716 W Central Ave Ste 600
Wichita, KS 67203-4904
Phone (316) 660-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250724000792 KS Practitioner - Mental Health Counselor 1456867514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince Jun 29, 2025 Accepting new patients
County of Sedgwick CurrentSince Jun 29, 2025 Accepting new patients
County of Sedgwick Current Accepting new patients

Locations

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

271 W 3rd St N
Ste 600
Wichita, KS 67202

1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675

2716 W Central Ave
Ste 600
Wichita, KS 67203

1938 N Woodlawn St
Ste 400
Wichita, KS 67208
Phone (316) 660-9600

Organizations & group practices 3

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1114817327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 W CENTRAL AVE STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034904",
            "telephone_number": "316-660-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 N WOODLAWN ST STE 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081875",
            "telephone_number": "316-660-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACARIAS WILSON",
        "first_name": "CRYSTAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.