Katherine J. Wilson, LCPC
Individual provider Active NPI Professional Counselor · Mt Sterling, IL
NPI 1326255282 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326255282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 700 SE Cross St
Mt Sterling, IL 62353-1561 - Phone
- (217) 773-3325
- Fax
- (217) 773-2425
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.003055 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Yes |
Addresses
Primary practice location
700 SE Cross St
Mt Sterling, IL 62353-1561
Mailing address
Route 1
Box 86
Timewell, IL 62375
Phone (217) 617-2039
Other providers in Mt Sterling, IL
- Jonathon Paul Thoele
- Lindsey Nicole Wagner
- Khalid Waheed
- Madeline Nichole Weber
- Wendy Wegs
- Philip I Woerner
- Stephanie Yingling
All providers in Mt Sterling, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.