Teresa S. Wilson LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PRC14103 Issued in DC

Legal business name

TERESA S. WILSON LLC

Practice address

1050 17TH St NW
Suite 1000
Washington, DC 20036-5503

Phone

(410) 227-7191

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Sharlene Wilson, LPC, LMFTNPI 1437450988

Title

Owner

Phone

(410) 227-7191

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa S Wilson, LPC, LMFT

  • Professional Counselor
  • Washington, DC
  • NPI 1437450988
  NPD (past) Authorized official

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1366738734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284849",
            "telephone_number": "410-227-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 17TH ST NW",
            "address_2": "SUITE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365503",
            "telephone_number": "410-227-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA S. WILSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "SHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-227-7191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "PRC14103",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "LMFT000138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437450988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Tercyak
• Amanawit Ti Terefe
• Asmarech Terefe
• Kedest Terefe
• Tegesty Terefe, RPH
• Aida Robert Teri
• Tericare Health Services
• Lisa M Ternes
• Kristina Terrani, MD
• Terrell a Waters DDS PC

• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.