Active NPI
Kathleen C Wilson, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1134286743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002763
- Practice address
- 4721 McKnight Rd
Suite 218 South
Pittsburgh, PA 15237-3415 - Phone
- (412) 369-4285
- Fax
- (412) 939-0246
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC002763 | PA | Primary |
Addresses
Primary practice location
4721 McKnight Rd
Suite 218 South
Pittsburgh, PA 15237-3415
Mailing address
548 Tyler St
Pittsburgh, PA 15237-4460
Phone (412) 292-8439
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC002763 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134286743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 TYLER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152374460",
"telephone_number": "412-292-8439",
"fax_number": "412-939-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 MCKNIGHT RD",
"address_2": "SUITE 218 SOUTH",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152373415",
"telephone_number": "412-369-4285",
"fax_number": "412-939-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KATHLEEN",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.