Organization Active NPI

Wilson Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ipswich, MA
National Provider Identifier
1255920369
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILSON COUNSELING, LLC
Practice address
4 S Main St Ste 9
Ipswich, MA 01938-2345
Phone
(978) 712-8160
NPI assigned
Jan 13, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Angela Marie WilsonNPI 1407169980
Title
LMHC
Phone
(978) 712-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4 S Main St Ste 9
Ipswich, MA 01938-2345

Mailing address

4 S Main St Ste 9
Ipswich, MA 01938-2345
Phone (978) 712-8160

National Provider Directory

National Provider Directory

Locations

4 S Main St
Ste 9
Ipswich, MA 01938
Phone (978) 704-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1255920369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST STE 9",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-712-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST STE 9",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-712-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "978-712-8160"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.