Kristin Leean Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3199 Issued in OK

Practice address

501 S Johnstone Ave
Suite 503
Bartlesville, OK 74003-6622

Phone

(918) 337-6050

Fax

(918) 337-6061

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson Psychological Associates PLLCGroup PAC ID 7113907452, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilson Psychological Associates PLLC

  • Psychologist
  • Bartlesville, OK
  • NPI 1144326265
  Medicare reassignment Care Compare group NPD
• Wilson Psychological Assessments, PLLC

  • Clinical Psychologist
  • Bartlesville, OK
  • NPI 1427903541
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1356426381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S JOHNSTONE AVE",
            "address_2": "SUITE 503",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036622",
            "telephone_number": "918-337-6050",
            "fax_number": "918-337-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S JOHNSTONE AVE",
            "address_2": "SUITE 503",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036622",
            "telephone_number": "918-337-6050",
            "fax_number": "918-337-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTIN",
        "middle_name": "LEEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Psychological Associates PLLC
• Da'Nae Wilson
• John R Wilson, BOCPO
• Katherine Ann Wilson, MA
• Kenneth Spencer Wilson, PHD
• Sherry M Wilson, LPC
• Sloan Andrew Wilson
• Tatiana A Wilson
• Tracy Leigh Winner
• Casey Nicole Wiswell

• Professional Counselor in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.

Verify at the official NPI Registry.