Samantha Lee Wilson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

297672 Issued in KY

Practice address

504 N Main St Ste B
Nicholasville, KY 40356-1125

Phone

(859) 707-5368

Fax

(859) 759-0970

NPI assigned

Jul 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kentucky Counseling Associates, LLC

  • Professional Counselor
  • Danville, KY
  • NPI 1750733010
  NPD

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1124918933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N MAIN ST STE B",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561125",
            "telephone_number": "859-759-1223",
            "fax_number": "859-759-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MAIN ST STE B",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561125",
            "telephone_number": "859-707-5368",
            "fax_number": "859-759-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "297672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Wilson-Mackey, R.PH.
• Carol A Wilson, DMD
• Kathleen R Wilson, ATC
• Melissa M Wilson, PT
• Nathan Paul Wilson, DMD
• Zilda Brewer Wilson, M.A., CCC/SLP
• Withinovations
• Cornelius B Witt, DMD
• Casey Danielle Witty, D.M.D.
• Carrie Wood, LPCC

• Professional Counselor in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.