Wild Lilac Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILD LILAC COUNSELING, LLC

Practice address

24700 Center Ridge Rd Ste G50
Westlake, OH 44145-5671

Phone

(440) 785-5990

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer GibbsNPI 1124484878

Title

Owner

Phone

(440) 785-5990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Gibbs, LPCC

  • Professional Counselor
  • Middleburg Heights, OH
  • NPI 1124484878
  NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1427750652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 GREENBRIAR DR",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381869",
            "telephone_number": "440-785-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE G50",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455671",
            "telephone_number": "440-785-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD LILAC COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-785-5990"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Westlake, OH
• Providers in Westlake, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.