Active NPI
Heather Wilson
- Counselor
- Dallas, TX
National Provider Identifier
1154689180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 71954
- Practice address
- 5817 Hillcrest Ave
Dallas, TX 75205-2260 - Phone
- (214) 526-8986
- NPI assigned
- Apr 27, 2012
- Last updated
- Oct 22, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 71954 | TX | Primary |
Addresses
Primary practice location
5817 Hillcrest Ave
Dallas, TX 75205-2260
Mailing address
5817 Hillcrest Ave
Dallas, TX 75205-2260
Phone (214) 526-8986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71954 | Other | TX | LICENSED PROFESSIONAL COUNSELOR, INTERN |
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 |
|---|---|---|---|
| 71954 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1154689180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5817 HILLCREST AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752052260",
"telephone_number": "214-526-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5817 HILLCREST AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752052260",
"telephone_number": "214-526-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "71954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR, INTERN",
"identifier": "71954",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.