Billy Glenn Wilborn Sr.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009659 Issued in GA

Practice address

6600 Van Aalst Blvd BLDG 9250
Fort Benning, GA 31905-2102

Phone

(706) 544-8674

NPI assigned

Mar 3, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1427550656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 ROYAL ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319076157",
            "telephone_number": "706-442-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD BLDG 9250",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "706-544-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBORN",
        "first_name": "BILLY",
        "middle_name": "GLENN",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marteia White, LCSW
• Zula T White
• Ralphine Renee Whitfield, DNP, PHARMD, PMHNP
• Kenda Rochelle Whittingham, RDH
• Jasmine Jones Wiggins, LICSW, LCSW
• Robert W. Wilkeson, D.O.
• Bart D Wilkison, M.D.
• Joshua Scott Will, D.O.
• Craig Jeffrey Williams, DDS
• James Stratford Williams, PA-C

• Professional Counselor in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.