Leon M Wilson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701003698 Issued in VA

Practice address

307 Lafayette Blvd Ste 202
Fredericksburg, VA 22401-6079

Phone

(703) 915-9526

Fax

(240) 595-6187

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Peace From Pieces

  • Health Maintenance Organization
  • Fredericksburg, VA
  • NPI 1275911653
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1386795250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "HARTWOOD",
            "state": "VA",
            "postal_code": "224710297",
            "telephone_number": "703-915-9526",
            "fax_number": "240-595-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 LAFAYETTE BLVD STE 202",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016079",
            "telephone_number": "703-915-9526",
            "fax_number": "240-595-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LEON",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010090687",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney R Wilson, SLP
• Emily L Wilson, OT
• Felicia Wilson
• Jennifer Leigh Wilson, F.N.P.
• Johanna A Wilson, PTA
• Madeleine Avery Wilson, MD
• Madison S Wilson
• Sammy Wilson
• Shannon Leigh Wilson
• Margaret Windland, FNP

• Mental Health Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.