Krista Juliane Wilson, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

287527 Issued in KY

Practice address

805 Commerce Dr
Leitchfield, KY 42754-9188

Phone

(270) 259-4652

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1164201810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COMMERCE DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549188",
            "telephone_number": "270-259-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COMMERCE DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549188",
            "telephone_number": "270-259-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTA",
        "middle_name": "JULIANE",
        "credential": "TCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "287527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Elizabeth Whobrey
• Benjamin Wayne Williams, P.A.
• Kiarra Williams, LPCC
• Tanisha Monique Williams, FNP-C
• Earl Denis Wilson, D.M.D.
• Owen Dale Wilson, DMD
• Troy D Wood, D.C.
• Regan Alyssa Woodcock, M.S. CCC-SLP
• Thomas Michael Yerkey, LPA
• Gary E Yochim, DO

• Addiction (Substance Use Disorder) Counselor in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.