Martha Louise Foster-Wilson, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16173 Issued in TX

Practice address

1220 Frenchmans Dr
Desoto, TX 75115-7763

Phone

(469) 571-1850

Fax

(972) 780-0219

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1205879723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 FRENCHMANS DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157763",
            "telephone_number": "972-298-4879",
            "fax_number": "972-283-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 FRENCHMANS DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157763",
            "telephone_number": "469-571-1850",
            "fax_number": "972-780-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-WILSON",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153251",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3972LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forensic 360 Laboratory
• Forensic 360 Laboratory Diagnostic (Forensic 360 Lab)
• Forever Bee Health-E Concierge, LLC
• Forever Caring Hands, LLC
• Brittney Fortenberry
• Charles Arnold Foster II, OD
• Pamela Foto
• Four Johnson Foundation
• Bryson Fowler
• Tara Alicia Franklin

• Professional Counselor in Desoto, TX
• Providers in Desoto, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.