Jacquie Wilson Associates, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JACQUIE WILSON ASSOCIATES, LLC

Practice address

7 Cabot PL Ste 10
Stoughton, MA 02072-4631

Phone

(505) 740-4316

Fax

(508) 276-0190

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jacquie Wilson, LMHC

Title

Psychotherapist

Phone

(508) 740-4316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Wilson, M.ED LMHC

  • Mental Health Counselor
  • Stoughton, MA
  • NPI 1942373212
  Medicare reassignment NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1356945315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CABOT PL STE 10",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724631",
            "telephone_number": "505-740-4316",
            "fax_number": "508-276-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CABOT PL STE 10",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724631",
            "telephone_number": "505-740-4316",
            "fax_number": "508-276-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUIE WILSON ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JACQUIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "508-740-4316",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Ivsin
• Jennifer A Iwanski, CRNA
• Ebony Craig Jackson, PHARMD
• Heidi Sue Jacob, PTA, LMT
• Alan Frank Jacobson, D.C.
• Angela Jamal
• Rebecca R Jankins, DPT, PT
• Barry Martin Jaye, D.M.D.
• Daphne Jean Michel, LPN
• Marie Jean-Baptiste

• Mental Health Counselor in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.