Wilson Wellness Group, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILSON WELLNESS GROUP, LLC

Practice address

7301 N University Dr Ste 209
Tamarac, FL 33321-2935

Phone

(754) 999-0410

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gail Wilson, LMFTNPI 1831471002

Title

Owner/Licensed Therapist

Phone

(754) 999-0410

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Gail Wilson, MS

  • Counselor
  • Tamarac, FL
  • NPI 1831471002
  Medicare reassignment NPD Authorized official
• Marivy Iglesias, M.S., LMHC

  • Mental Health Counselor
  • Lauderdale Lakes, FL
  • NPI 1275064073
  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1306585062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 NW 5TH PL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330636742",
            "telephone_number": "954-554-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR STE 209",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212935",
            "telephone_number": "754-999-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "754-999-0410",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen W Williams, M.D.
• Monica Effie Williams
• Morisa Williams I
• Uchenna Kaisha Williams, BSN, RN
• Dianne Cupido Willis
• Gail Wilson, MS
• Narges Wilson, RPH
• Eric Wise
• Alexandria Wnuk
• Keri A Woloszynski, PT

• Mental Health Counselor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.