Natascha Monique Wilson, PH D, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10589 Issued in LA

Practice address

3535 S Sherwood Forest Blvd Ste 201
Baton Rouge, LA 70816-2261

Phone

(225) 333-6823

Fax

(866) 320-0926

NPI assigned

Sep 22, 2015

Sex

Female

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Spectrum Rehab Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denham Springs, LA
  • NPI 1356493530
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1417326273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18576 LAKEFIELD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177594",
            "telephone_number": "225-489-7911",
            "fax_number": "866-320-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S SHERWOOD FOREST BLVD STE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162261",
            "telephone_number": "225-333-6823",
            "fax_number": "866-320-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NATASCHA",
        "middle_name": "MONIQUE",
        "credential": "PH D, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "10589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Renee Wilson
• Marise Wilson
• Mark A Wilson Sr.
• Markia Wilson
• Mary Alice Wilson
• Octavia Artimese Wilson
• Roxie Wilson, RSW
• Saundra Ann Wilson, LPN
• Shelby Wilson, LCSW
• Shetamian Wilson

• Professional Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.