Wilson Therapeutic Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILSON THERAPEUTIC SERVICES LLC

Doing business as

Wilson Therapeutic Services

Practice address

1901 W Royale Dr
Muncie, IN 47304-2265

Phone

(260) 307-1540

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Kara Wilson, LMHCNPI 1710467758

Title

Owner

Phone

(260) 307-1540

Specialties & licenses 3

Addresses

Other names 1

• Wilson Therapeutic Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kara L Wilson, LMHC

  • Mental Health Counselor
  • Yorktown, IN
  • NPI 1710467758
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1245036789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 S BROADWAY ST",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473961204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042265",
            "telephone_number": "260-307-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-307-1540",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary David Williams, DO
• Sandy Jo Williamson, NP
• Susan Rebecca Williamson, LSCW
• David F Willian, MD
• Danielle Nicole Wills, OTR
• Brenda Wilson-Graham, MAMFT
• Audrey C Wilson
• Danyel Kay Wilson, MA, CCC-SLP
• David Mel Wilson, OD
• David R. Wilson, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Muncie, IN
• Providers in Muncie, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.