Active NPI
William Matthew Nelson, LPCC-S
- Professional Counselor
- Wooster, OH
National Provider Identifier
1194992420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0007672-SUPV
- Practice address
- 2000 Noble Dr
Wooster, OH 44691-5353 - Phone
- (330) 264-3232
- NPI assigned
- May 15, 2008
- Last updated
- Feb 20, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C0007672 | OH | |
| Counselor | 101Y00000X | E0007672 | OH | |
| Professional Counselor | 101YP2500X | E.0007672-SUPV | OH | Primary |
Addresses
Primary practice location
2000 Noble Dr
Wooster, OH 44691-5353
Mailing address
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
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 |
|---|---|---|---|
| C0007672 | OH | MD | Counselor |
| E0007672 | OH | MD | Counselor |
| E.0007672-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Network | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1194992420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "WILLIAM",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C0007672",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0007672",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0007672-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.