Nicole A Wilkinson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00609200 Issued in NJ

Practice address

765 Broad St
Newark, NJ 07102-3720

Phone

(973) 980-7022

NPI assigned

Jul 25, 2024

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

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1144058678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SARGEANT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131950",
            "telephone_number": "973-980-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023720",
            "telephone_number": "973-980-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Hawkins St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071053918",
            "country_code": "US",
            "telephone_number": "973-465-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00609200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wiedaseck, CNM
• Robert Wieder, M.D.
• Derrek Alonzo Thomas Wilder
• Ann-Marie Wilhelm
• Aollani E. Wilkinson
• Williams Therapeutic Solution, LLC
• Fatimah Williams-Terry, PMHNP-BC
• Alexanderia S Williams
• Aliyah Williams, MSW, LSW
• Chanell S Williams, DNP, FNP, ENP

• Mental Health Counselor in Newark, NJ
• Providers in Newark, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.