Active NPI
Lisa Wilson, MSW
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1215178777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC50078635
- Practice address
- 4826 5TH St NW
Washington, DC 20011-6107 - Phone
- (202) 431-9371
- NPI assigned
- Mar 13, 2009
- Last updated
- Oct 30, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC50078635 | DC | Primary |
Addresses
Primary practice location
4826 5TH St NW
Washington, DC 20011-6107
Mailing address
616 E St NW
#208
Washington, DC 20004-2264
Phone (202) 431-9371
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1215178777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 E ST NW",
"address_2": "#208",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200042264",
"telephone_number": "202-431-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4826 5TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116107",
"telephone_number": "202-431-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LISA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-13",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "LC50078635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.