Individual provider Active NPI

Carolyn Denise Wilson, LMHC

  • Professional Counselor
  • Taos, NM
National Provider Identifier
1316611239
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
CMH0215151NMMDMental 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

Verify at the official NPI Registry.