Active NPI
Gail Wilson, MS
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1356514723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH25063
- Practice address
- 6625 Argyle Forest Blvd Ste 4, #1174
Jacksonville, FL 32244-6126 - Phone
- (904) 780-9827
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH25063 | FL | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
6625 Argyle Forest Blvd Ste 4, #1174
Jacksonville, FL 32244-6126
Mailing address
PO Box 174
East Palatka, FL 32131-0174
Phone (386) 916-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMH25063 | Other | FL | FLORIDA DEPARTMENT OF HEALTH: REGISTERED MENTAL HEALTH COUNSELOR INTERN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@arisecac.com | Direct |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH25063 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1356514723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 174",
"city": "EAST PALATKA",
"state": "FL",
"postal_code": "321310174",
"telephone_number": "386-916-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 ARGYLE FOREST BLVD STE 4, #1174",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322446126",
"telephone_number": "904-780-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GAIL",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH25063",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH: REGISTERED MENTAL HEALTH COUNSELOR INTERN",
"identifier": "IMH25063",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@arisecac.com",
"affiliation": "N",
"endpointDescription": "Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email Address",
"address_1": "6625 Argyle Forest Blvd Ste 4, #1174",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322446126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.