Willetta M. Wilson, LMFT, LPC, MAC, BC-

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005368 Issued in VA

Practice address

A.T. Augusta Military Medical Center
9300 Dewitt Loop; River Pavilion
Fort Belvoir, VA 22060

Phone

(571) 231-3224

Fax

(571) 231-6623

NPI assigned

Feb 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: willettawilson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1225003403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 TOWNES PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052091",
            "telephone_number": "703-303-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A.T. AUGUSTA MILITARY MEDICAL CENTER",
            "address_2": "9300 DEWITT LOOP; RIVER PAVILION",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-3224",
            "fax_number": "571-231-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Townes Pl",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224052091",
            "country_code": "US",
            "telephone_number": "703-303-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WILLETTA",
        "middle_name": "M.",
        "credential": "LMFT, LPC, MAC, BC-",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401007409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13727",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "LMFT000060",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Patricia Williams, R.PH.
• Patrice Williams, R.D.
• Sonia Williams, MD
• Amber Willis, RN
• John Martin Wilson, MD
• Robin K Winslow, O.D.
• Shannon Winter, LCPC, LCADC
• Michael Vincent Winters, PT
• Adriana Silvia Wiseman, O.D.
• Benjamin Guy Withers, MD, MPH

• All providers in Fort Belvoir, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.