Jason Elias Wilson I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

217 S King St
Leesburg, VA 20175-2905

Phone

(703) 464-7400

Fax

(703) 464-0908

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1396307096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 26TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182515",
            "telephone_number": "202-664-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S KING ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752905",
            "telephone_number": "703-464-7400",
            "fax_number": "703-464-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "middle_name": "ELIAS",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahla Williams, P.T.
• Kelli Danielle Willingham, FNP
• Tara Leigh Willis, M.S., CCC-SLP
• Michael Willoughby, MD
• Todd Albert Wills, LPC
• Zachariah Leigh Wilson, D.C.
• Kristina Teri Wimer, DPT
• Joshua James Wind, M.D.
• Alexis Paice Winegar
• Catherine Winiarski-Roth, CRNA

• Mental Health Counselor in Leesburg, VA
• Providers in Leesburg, 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 Jul 2, 2019; 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.