Kim Wilson Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KIM WILSON COUNSELING, LLC

Practice address

17 Breckan Rd
Brunswick, ME 04011-3435

Phone

(207) 406-1269

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Kim Wilson, LCSW

Title

Owner

Phone

(207) 406-1269

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kimberly Brann Wilson, LCSW

  • Clinical Social Worker
  • Brunswick, ME
  • NPI 1760527956
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1407549637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BRECKAN RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113435",
            "telephone_number": "207-406-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BRECKAN RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113435",
            "telephone_number": "207-406-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM WILSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-406-1269",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennebec Pharmacy and Home Care LLC
• Sarah Muir Kennedy, NP
• Lisa D Khoury, MD
• Kid Function, Inc.
• Jaben F Kilbourn, PT
• Heather Lynn Kinee
• Karen Lynn King, M.D.
• Kathryn Marie King, APRN
• Nancy Prince King, LCPC-C
• Tom Kivler, LCPC

• Community/Behavioral Health Agency in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.