Marianne Lee Wilson, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2174 Issued in NH

Practice address

25 Sundial Ave Ste 310W
Manchester, NH 03103-7244

Phone

(603) 634-9471

Fax

(603) 676-2173

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marianne L Walker Former name

Medicare fee-for-service enrollment

Enrolled in NH

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jtsj1 Enterprises LLCGroup PAC ID 9537515689, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Jtsj1 Enterprises LLC

  • Mental Health Counselor
  • Manchester, NH
  • NPI 1801589759
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1487929253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SUNDIAL AVE STE 310W",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037244",
            "telephone_number": "603-634-9471",
            "fax_number": "603-676-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SUNDIAL AVE STE 310W",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037244",
            "telephone_number": "603-634-9471",
            "fax_number": "603-676-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 N State St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033014037",
            "country_code": "US",
            "telephone_number": "844-524-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARIANNE",
        "middle_name": "LEE",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7105",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH7105",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "WALKER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Kate Williston, PH.D.
• Willliam a. Mehan, DMD Professional Assoc.
• Bridget Willson
• Ellen Kay Wilson, CST, FA
• Jennifer Lynne Wilson, APRN
• Jennifer Winbourne, BS
• William N Windler, M.D.
• Lauranne Wingard
• Walter M Wingate Jr., MD
• Winners Home Care LLC

• Mental Health Counselor in Manchester, NH
• Providers in Manchester, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.