Individual provider Active NPI

Brittany Alexis Wilson, MA, LPCC-S, NCC

  • Mental Health Counselor
  • Richmond, KY
National Provider Identifier
1275070658
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
246485 Issued in KY
Practice address
451 Big Hill Ave Ste 5
Richmond, KY 40475-2596
Phone
(859) 428-7862
Fax
(859) 999-7869
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 246485 KY
Mental Health Counselor 101YM0800X 246485 KY Primary

Addresses

Primary practice location

451 Big Hill Ave Ste 5
Richmond, KY 40475-2596

Mailing address

PO Box 802
Berea, KY 40403-0802
Phone (859) 428-7862

Other practice location 1

208 Kidd Dr
Berea, KY 40403-9593
Phone (859) 428-7862

Other identifiers 1

IdentifierTypeStateIssuer
7100606820MedicaidKY

Other names 1

  • Miss Brittany Alexis Wills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240116002790 KY Practitioner - Mental Health Counselor 1153773023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parsons Counseling LLCGroup PAC ID 1557744984, 7 clinicians

Practice addresses (Care Compare)

208 Kidd Dr
Berea, KY 40403-9593
Phone (859) 428-7862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Counseling, LLC Mental Health CurrentSince Jan 15, 2024 Accepting new patients

Locations

208 Kidd Dr
Berea, KY 40403
Phone (859) 428-7862

229 Churchill Dr
Ste 2
Richmond, KY 40475
Phone (859) 428-7862

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1275070658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030802",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BIG HILL AVE STE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752596",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Kidd Dr",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "KY",
            "postal_code": "404039593",
            "country_code": "US",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRITTANY",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC-S, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "246485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "246485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100606820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "WILLS",
            "middle_name": "ALEXIS",
            "prefix": "MISS",
            "credential": "LPCC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.