Organization Active NPI

NLC Consulting Services, LLC.

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1124792833
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NLC CONSULTING SERVICES, LLC.
Practice address
431 S Broadway Ste 121
Lexington, KY 40508-2955
Phone
(859) 317-9558
Fax
(859) 406-1066
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Dr. Dominique Lashan Wilson, LPCC-S, MAC, CCCENPI 1831478023
Title
Owner
Phone
(859) 312-3744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

431 S Broadway Ste 121
Lexington, KY 40508-2955

Mailing address

PO Box 11851
Lexington, KY 40578-1851
Phone (859) 317-9558

Other identifiers 1

IdentifierTypeStateIssuer
7100857890MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.nlcs1.com/

National Provider Directory

National Provider Directory

Locations

431 S Broadway
Ste 121
Lexington, KY 40508
Phone (859) 317-9558

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1124792833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11851",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405781851",
            "telephone_number": "859-317-9558",
            "fax_number": "859-406-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S BROADWAY STE 121",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082955",
            "telephone_number": "859-317-9558",
            "fax_number": "859-406-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLC CONSULTING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "LASHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-312-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC-S, MAC, CCCE"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100857890",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nlcs1.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "431 S Broadway Ste 121",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405082955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.