Active NPI
Charles Pruitt Wilkinson
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1386094290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- H13346275
- Practice address
- 2300 S 13TH St
Lincoln, NE 68502 - Phone
- (308) 539-3282
- Fax
- (402) 474-4668
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | H13346275 | NE | Primary |
Addresses
Primary practice location
2300 S 13TH St
Lincoln, NE 68502
Mailing address
5115 F St
Omaha, NE 68117-2807
Phone (308) 539-3282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H13346275 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1386094290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681172807",
"telephone_number": "308-539-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 13TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68502",
"telephone_number": "308-539-3282",
"fax_number": "402-474-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "CHARLES",
"middle_name": "PRUITT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "H13346275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.