Individual provider Active NPI

Wendy Elizabeth Wilson, LPCC

  • Professional Counselor
  • Morganfield, KY
National Provider Identifier
1275970550
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104257 Issued in KY
Practice address
111 S Morgan St
Morganfield, KY 42437-1552
Phone
(270) 285-9023
Fax
(270) 285-9037
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 1334 KY
Professional Counselor 101YP2500X 104257 KY Primary

Addresses

Primary practice location

111 S Morgan St
Morganfield, KY 42437-1552

Mailing address

411 E Houston St
Morganfield, KY 42437-1264
Phone (270) 285-2409

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
I20240113000525 KY Practitioner - Mental Health Counselor 6305298415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Counseling Center Professional CurrentSince Nov 16, 2021 Accepting new patients
Kentucky Counseling Center, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Lighthouse Counseling Services, Inc. PastSince Dec 19, 2012 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

111 S Morgan St
Morganfield, KY 42437
Phone (270) 285-9023

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1275970550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E HOUSTON ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371264",
            "telephone_number": "270-285-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371552",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WENDY",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1334",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganfield, KY

Sources for this page

Verify at the official NPI Registry.