Individual provider Active NPI

Karen Perry Wilson, LMHC MED CAGS

  • Mental Health Counselor
  • Braintree, MA
National Provider Identifier
1427264100
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4821 Issued in MA
Practice address
400 Washington St Ste 303
Braintree, MA 02184-4768
Phone
(781) 843-3683
Fax
(781) 848-0206
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMHC4821 MA
Mental Health Counselor 101YM0800X 4821 MA Primary

Addresses

Primary practice location

400 Washington St Ste 303
Braintree, MA 02184-4768

Mailing address

9 Jessie Lane
East Hampton, MA 01027-2121
Phone (413) 527-3832

Other practice location 1

1233 Main St
Providence Behavioral Health Hospital
Holyoke, MA 01040
Phone (413) 589-2853

Other names 1

  • Ms. Karen Perry Wilson-Plaza Former name

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

LicenseStateTypeSpecialty
LMHC4821MAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427264100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JESSIE LANE",
            "city": "EAST HAMPTON",
            "state": "MA",
            "postal_code": "010272121",
            "telephone_number": "413-527-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST STE 303",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844768",
            "telephone_number": "781-843-3683",
            "fax_number": "781-848-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Main St",
            "address_2": "Providence Behavioral Health Hospital",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-589-2853",
            "fax_number": "413-493-2783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAREN",
        "middle_name": "PERRY",
        "name_prefix": "Ms.",
        "credential": "LMHC  MED CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC4821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WILSON-PLAZA",
            "middle_name": "PERRY",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.