Active NPI
Emily Gulick Wilson, M.S.
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1184237406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A17863
- Practice address
- 1200 S Broad St
Winston Salem, NC 27101-5758 - Phone
- (918) 645-5055
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A17863 | NC | Primary |
Addresses
Primary practice location
1200 S Broad St
Winston Salem, NC 27101-5758
Mailing address
1200 S Broad St
Winston Salem, NC 27101-5760
Phone (918) 645-5055
Other practice location 1
1100 NW 14th St
Oklahoma City, OK 73106-4450
Phone (918) 645-5055
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A17863 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1184237406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S BROAD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271015760",
"telephone_number": "918-645-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S BROAD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271015758",
"telephone_number": "918-645-5055"
}
],
"practiceLocations": [
{
"address_1": "1100 NW 14th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731064450",
"country_code": "US",
"telephone_number": "918-645-5055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "EMILY",
"middle_name": "GULICK",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A17863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.