Active NPI
NLC Consulting Services, LLC.
- Professional Counselor
- Lexington, KY
National Provider Identifier
1124792833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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, CCCE
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100857890 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.nlcs1.com/ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Lexington, KY
- NPI 1831478023
-
- Mental Health Counselor
- Lexington, KY
- NPI 1073273256
-
- Peer Specialist
- Lexington, KY
- NPI 1831612027
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.