Active NPI
Carolyn Denise Wilson, LMHC
- Professional Counselor
- Taos, NM
National Provider Identifier
1316611239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 105 Bertha Rd
Taos, NM 87571-7148 - Phone
- (401) 323-1432
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
105 Bertha Rd
Taos, NM 87571-7148
Mailing address
176 Maestas Rd Unit B
Ranchos de Taos, NM 87557-9779
Phone (401) 323-1432
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | c.wilson@taosbehavioralhealth.org | Direct | |
| Direct Messaging Address | c.wilson@taosbehavioralhealth.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2286 NH
Suite 68
Embudo, NM 87531
4134 State Rd
Suite 68
Ranchos de Taos, NM 87557
4600 Montgomery Blvd NE
Albuquerque, NM 87109-1210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMH0215151 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1316611239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 MAESTAS RD UNIT B",
"city": "RANCHOS DE TAOS",
"state": "NM",
"postal_code": "875579779",
"telephone_number": "401-323-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BERTHA RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875717148",
"telephone_number": "401-323-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CAROLYN",
"middle_name": "DENISE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "c.wilson@taosbehavioralhealth.org",
"affiliation": "N",
"endpointDescription": "c.wilson@taosbehavioralhealth.org",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "105 Bertha Rd",
"city": "Taos",
"state": "NM",
"country_code": "US",
"postal_code": "875717148",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "c.wilson@taosbehavioralhealth.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "105 Bertha Rd",
"city": "Taos",
"state": "NM",
"country_code": "US",
"postal_code": "875717148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.