Active NPI
Emily Elizabeth Wilson
- Mental Health Counselor
- Tuscaloosa, AL
National Provider Identifier
1184134165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4142
- Practice address
- 201 Marina Dr Apt 1001
Tuscaloosa, AL 35406-3243 - Phone
- (419) 571-1727
- NPI assigned
- Oct 4, 2017
- Last updated
- Apr 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1700506 | OH | |
| Mental Health Counselor | 101YM0800X | 4142 | AL | Primary |
Addresses
Primary practice location
201 Marina Dr Apt 1001
Tuscaloosa, AL 35406-3243
Mailing address
201 Marina Dr Apt 1001
Tuscaloosa, AL 35406-3243
Other practice location 1
3964 Hamilton Square Blvd
Groveport, OH 43125-9119
Phone (614) 610-1506 ext. 1814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093251225 | Other | OH | PRIVATE INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wilson.2328@osu.edu |
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 |
|---|---|---|---|
| 4142 | AL | MD | Mental Health Counselor |
| 1700506 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Wilson Counseling LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Tuscaloosa, AL
- NPI 1801547856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1184134165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MARINA DR APT 1001",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354063243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MARINA DR APT 1001",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354063243",
"telephone_number": "419-571-1727"
}
],
"practiceLocations": [
{
"address_1": "3964 Hamilton Square Blvd",
"address_purpose": "LOCATION",
"city": "Groveport",
"state": "OH",
"postal_code": "431259119",
"country_code": "US",
"telephone_number": "614-610-1506 x1814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "1700506",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "4142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "1093251225",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wilson.2328@osu.edu",
"affiliation": "N",
"address_1": "201 Marina Dr Apt 1001",
"city": "Tuscaloosa",
"state": "AL",
"country_code": "US",
"postal_code": "354063243",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.