Elizabeth Wilson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701005114 Issued in VA

Practice address

107 Hexham Dr
Lynchburg, VA 24502-3012

Phone

(434) 582-1305

Fax

(434) 582-1306

NPI assigned

Dec 14, 2011

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

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Health Center IncGroup PAC ID 9739082520, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Ridge Health Center Inc

  dba Blue Ridge Medical Center - Amherst

  • Federally Qualified Health Center (FQHC)
  • Amherst, VA
  • NPI 1326566993
  Medicare reassignment NPD
• Blue Ridge Health Center Inc

  dba Blue Ridge Medical Center--Appomattox

  • Federally Qualified Health Center (FQHC)
  • Appomattox, VA
  • NPI 1477163475
  Medicare reassignment NPD
• Blue Ridge Health Center Inc

  dba Blue Ridge Medical Center

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1518945187
  Medicare reassignment NPD

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1457620841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HEXHAM DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023012",
            "telephone_number": "434-582-1305",
            "fax_number": "434-582-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HEXHAM DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023012",
            "telephone_number": "434-582-1305",
            "fax_number": "434-582-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Fount Willson, DO
• Monica Willson, D.O.
• Brandy Rose-Charlene Wilson-Odom, PA-C
• Brandy Wilson, PT
• Courtney Sublett Wilson, MS
• Emma Wilson
• Jacqui R Wilson, LPTA
• Jeffrey W Wilson, MD, MBA
• John M. Wilson, M.D.
• Noah Andrew Wilson, ATC

• Mental Health Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.