Individual provider Active NPI

Karoline Wilson

  • Counselor
  • Birmingham, AL
National Provider Identifier
1427585025
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2127 14TH Ave S
Birmingham, AL 35205-3900
Phone
(205) 575-8216
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X AL Primary

Addresses

Primary practice location

2127 14TH Ave S
Birmingham, AL 35205-3900

Mailing address

2127 14TH Ave S
Birmingham, AL 35205-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618001505 AL Practitioner - Mental Health Counselor 2668915794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3018ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Pesek Counseling Services, LLC Counselor CurrentSince Apr 20, 2024 Accepting new patients
Avail Services, LLC Past Accepting new patients

Locations

277 Village Pkwy
Helena, AL 35080
Phone (205) 620-5025

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1427585025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053900",
            "telephone_number": "205-575-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.