Individual provider Active NPI

Zebedee Rhett Wilson, MA, MHP, LMHCA

  • Mental Health Counselor
  • Tumwater, WA
National Provider Identifier
1326297615
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60795964 Issued in WA
Practice address
6334 Littlerock Rd SW BLDG 6
Tumwater, WA 98512-7332
Phone
(360) 704-7590
Fax
(360) 704-7591
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60795964 WA Primary

Addresses

Primary practice location

6334 Littlerock Rd SW BLDG 6
Tumwater, WA 98512-7332

Mailing address

6334 Littlerock Rd SW BLDG 6
Tumwater, WA 98512-7332
Phone (360) 704-7590

Other practice location 1

135 W Main St
Chehalis, WA 98532-4817
Phone (360) 748-6696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60795964WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1326297615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 LITTLEROCK RD SW BLDG 6",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "360-704-7590",
            "fax_number": "360-704-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 LITTLEROCK RD SW BLDG 6",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "360-704-7590",
            "fax_number": "360-704-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W Main St",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985324817",
            "country_code": "US",
            "telephone_number": "360-748-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ZEBEDEE",
        "middle_name": "RHETT",
        "credential": "MA, MHP, LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60795964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.