J.F. Wilson Wellness Center, LLC.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

J.F. WILSON WELLNESS CENTER, LLC.

Practice address

570 Oakland Cir
Paducah, KY 42003-8924

Phone

(270) 558-5173

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jana Faye Wilson, LPCCNPI 1972926673

Title

Owner

Phone

(270) 816-2671

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Jana Wilson, B.S. MHP

  • Mental Health Counselor
  • Paducah, KY
  • NPI 1972926673
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1457097560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 OAKLAND CIR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038924",
            "telephone_number": "270-558-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OAKLAND CIR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038924",
            "telephone_number": "270-558-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.F. WILSON WELLNESS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-816-2671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.JFWILSONWELLNESSCENTERLLC.ORG",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "570 Oakland Cir",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420038924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Integrated Psychological Services LLC
• Suzanne Marie Irvan, APRN
• Chase Cullen Irvin, OTR/L
• Victoria Ivanukoff, DO
• J Michael Giannini PSC
• Jackson Purchase ER Physicians, PSC
• Jackson Purchase Medical Associates, PSC
• Brooke A Jackson, PA-C
• Catherine Marie Jackson, DNAP, CRNA
• Deana K. Jackson, MOT, OTR/L

• Adult Mental Health Clinic/Center in Paducah, KY
• Providers in Paducah, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.