Heidi Wilson, MBA, MA, LPC, CACII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4075

Practice address

1137 Pearl St
Suite 207
Boulder, CO 80302-5159

Phone

(720) 530-8227

Fax

(303) 927-6016

NPI assigned

May 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1275768285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 30TH ST STE A",
            "address_2": "PMB 217",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011045",
            "telephone_number": "720-530-8227",
            "fax_number": "303-927-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 PEARL ST",
            "address_2": "SUITE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025159",
            "telephone_number": "720-530-8227",
            "fax_number": "303-927-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEIDI",
        "credential": "MBA, MA, LPC, CACII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "6191",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bettina Willuhn, P.A.
• Elizabeth Wilmer
• Gillian Kenny Wilschke, MA
• Carmen Wilson, MT
• Donna Reiter Wilson, LCSW
• John Richard Wilson, D.C.
• Kaylee Wilson, RBT
• Maryanne Wilson, PT
• Renee Lynn Wilson, MA, LPC
• Taylor Wilson, MFTC

• Professional Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.