Active NPI
Erik A. Wilson, LPC
- Professional Counselor
- Jonesboro, AR
National Provider Identifier
1528371127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1609128
- Practice address
- 2239 S Caraway Rd Ste M
Jonesboro, AR 72401-6234 - Phone
- (870) 910-3757
- NPI assigned
- Jul 23, 2010
- Last updated
- Sep 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1609128 | AR | Primary |
Addresses
Primary practice location
2239 S Caraway Rd Ste M
Jonesboro, AR 72401-6234
Mailing address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Other practice location 1
3201 W Keiser Ave
Osceola, AR 72370-3467
Phone (870) 622-0592
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1609128 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients | |
| United Methodist Behavioral Health Systems, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Jonesboro, AR
- NPI 1457598302
-
dba Methodist Counseling Clinic
- Behavior Analyst
- Jonesboro, AR
- NPI 1679901664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1528371127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ALDERSGATE RD STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 S CARAWAY RD STE M",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016234",
"telephone_number": "870-910-3757"
}
],
"practiceLocations": [
{
"address_1": "3201 W Keiser Ave",
"address_purpose": "LOCATION",
"city": "Osceola",
"state": "AR",
"postal_code": "723703467",
"country_code": "US",
"telephone_number": "870-622-0592",
"fax_number": "870-622-0782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ERIK",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-23",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1609128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.