Active NPI
Robert A Wilson, LPC
- Professional Counselor
- Morgantown, WV
National Provider Identifier
1154754828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2044
- Practice address
- 40 Commerce Dr
Ste B
Morgantown, WV 26501-3874 - Phone
- (304) 241-1708
- Fax
- (304) 391-2054
- NPI assigned
- Aug 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 2044 | WV | Primary |
Addresses
Primary practice location
40 Commerce Dr
Ste B
Morgantown, WV 26501-3874
Mailing address
6 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 623-5661
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1154754828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HOSPITAL PLZ",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263019316",
"telephone_number": "304-623-5661",
"fax_number": "304-623-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 COMMERCE DR",
"address_2": "STE B",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265013874",
"telephone_number": "304-241-1708",
"fax_number": "304-391-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.