Kelsey Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC05031 Issued in AL

Practice address

3802 Ofc. Trevor S. Phillips Ave
Suite a
Tuscaloosa, AL 35401

Phone

(205) 722-7294

NPI assigned

Dec 13, 2022

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifecare Wellness Counseling, LLCGroup PAC ID 3779961370, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifecare Wellness Counseling LLC

  dba Lifecare Wellness

  • Mental Health Counselor
  • Tuscaloosa, AL
  • NPI 1851036495
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1245941079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SOUTHVIEW LN STE 103-254",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056390",
            "telephone_number": "205-722-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OFC. TREVOR S. PHILLIPS AVE",
            "address_2": "SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-722-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "3802 Ofc. Trevor S. Phillips Ave",
            "address_2": "Suite A",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Elizabeth Wilson
• Gwendolyn Wilson, CRNP
• Gwendolyn Jacqueline Wilson
• Holley M Wilson, CRNP
• Jessica Wilson, MA, ALC
• Lillian Clemons Wilson, MA, LPC, NCC, MAC
• Mackenzie Steger Wilson, OTD, OTR/L
• Marc David Wilson, OT
• Marcus Garvey Wilson, MD
• Nichelle Page Wilson

• Professional Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.