Individual provider Active NPI

Adam Christopher Wilson, PHD, LPC

  • Mental Health Counselor
  • Littleton, CO
National Provider Identifier
1184757148
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4678 Issued in CO
Practice address
6399 S Santa Fe Dr
Littleton, CO 80120-2912
Phone
(720) 258-6232
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4678 CO Primary

Addresses

Primary practice location

6399 S Santa Fe Dr
Littleton, CO 80120-2912

Mailing address

PO Box 630833
Highlands Ranch, CO 80163-0833
Phone (720) 258-6232

Other practice location 1

141 W Davies Ave N
Ste 105
Littleton, CO 80120-5211
Phone (303) 730-1717

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4678COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Associates Mental Health PastSince Jan 1, 1991 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1184757148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630833",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801630833",
            "telephone_number": "720-258-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 S SANTA FE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202912",
            "telephone_number": "720-258-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W Davies Ave N",
            "address_2": "STE 105",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801205211",
            "country_code": "US",
            "telephone_number": "303-730-1717",
            "fax_number": "303-730-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.