Wilson Wellness Counseling, Coaching & Consulting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILSON WELLNESS COUNSELING, COACHING & CONSULTING LLC

Practice address

2810 Charlevoix Rd Ste 106
Petoskey, MI 49770-8421

Phone

(989) 600-7035

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Malcolm J Wilson Jr., LPCNPI 1548522899

Title

President

Phone

(989) 600-7035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malcolm James Wilson Jr., M.A. LPC

  • Professional Counselor
  • Boyne City, MI
  • NPI 1548522899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1427828979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MCLEAN ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129444",
            "telephone_number": "989-600-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CHARLEVOIX RD STE 106",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708421",
            "telephone_number": "989-600-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 McLean St",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "497129444",
            "country_code": "US",
            "telephone_number": "989-600-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSON WELLNESS COUNSELING, COACHING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-600-7035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Angela Wilder, RN, PMHNP
• Megan Willemstein, PHARMD
• Harold James Willens, MD
• William J. Steinbach D.C.,P.C.
• Brian Jeremy Wills, DDS
• Matthew Royal Wilson, CRNA
• Rose Marie Wilson, LMSW, CAADC, CCS-D
• William Thomas Wilson, MSW, ACSW
• Vincent Jan Winklerprins, M.D.
• Winnell Wellness Consulting

• Professional Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.