Debra G Wilson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0689 Issued in KY

Practice address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795

Phone

(859) 259-2635

NPI assigned

Apr 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluegrass Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1215567474
  Medicare reassignment NPD
• Bluegrass Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, KY
  • NPI 1447009303
  NPD
• Bluegrass Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winchester, KY
  • NPI 1659082774
  NPD

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1447424536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111217",
            "telephone_number": "859-253-1686",
            "fax_number": "859-254-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3479 Buckhorn Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405151114",
            "country_code": "US",
            "telephone_number": "859-253-1686 x520",
            "fax_number": "859-254-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEBRA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Wilson, PA-C
• Benjamin Ray Wilson, M.D.
• Bethany Ray Wilson, APSS
• Brandi Leshay Wilson, RN
• Dana E Wilson, ST
• Denise Wilson, RBT
• Derek Wilson, MD
• Dianne Wilson, MD
• Dominique Lashan Wilson, LPCC-S, MAC
• Emery Wilson, MD

• Professional Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.