Individual provider Active NPI

Jason W Wilson, LPC,MASTER OF ART

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1457679409
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19863 Issued in TX
Practice address
7026 Belgold St
Houston, TX 77066-1002
Phone
(281) 807-9252
Fax
(281) 573-8957
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19863 TX Primary

Addresses

Primary practice location

7026 Belgold St
Houston, TX 77066-1002

Mailing address

7026 Belgold St
Houston, TX 77066-1002
Phone (281) 807-9252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19863TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1457679409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 BELGOLD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661002",
            "telephone_number": "281-807-9252",
            "fax_number": "281-573-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 BELGOLD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661002",
            "telephone_number": "281-807-9252",
            "fax_number": "281-573-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LPC,MASTER OF ART",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.