Active NPI
Michael Earl Wilson, MED COUNSELING
- Professional Counselor
- Spring, TX
National Provider Identifier
1336390285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15454
- Practice address
- 25325 Borough Park Dr
Suite 220
Spring, TX 77380-3569 - Phone
- (281) 744-6106
- NPI assigned
- Oct 8, 2008
- Sex
- Male
- 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 | 15454 | TX | Primary |
Addresses
Primary practice location
25325 Borough Park Dr
Suite 220
Spring, TX 77380-3569
Mailing address
31915 Debbi LN
Magnolia, TX 77355-4046
Phone (281) 744-6106
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15454 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1336390285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31915 DEBBI LN",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773554046",
"telephone_number": "281-744-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25325 BOROUGH PARK DR",
"address_2": "SUITE 220",
"city": "SPRING",
"state": "TX",
"postal_code": "773803569",
"telephone_number": "281-744-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MICHAEL",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "MED COUNSELING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.