Active NPI
Emily B Wilson, MA
- Professional Counselor
- Lafayette, CO
National Provider Identifier
1528464856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0013186
- Practice address
- 104 N Harrison Ave
Lafayette, CO 80026-2310 - Phone
- (720) 513-6156
- NPI assigned
- Nov 13, 2014
- Last updated
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC.0013186 | CO | Primary |
Addresses
Primary practice location
104 N Harrison Ave
Lafayette, CO 80026-2310
Mailing address
104 N Harrison Ave
Lafayette, CO 80026-2310
Phone (720) 513-6156
Other practice location 1
2001 S Shields St Ste K
Fort Collins, CO 80526-1838
Phone (970) 494-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC.0013186 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0013186 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1528464856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N HARRISON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262310",
"telephone_number": "720-513-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N HARRISON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262310",
"telephone_number": "720-513-6156"
}
],
"practiceLocations": [
{
"address_1": "2001 S Shields St Ste K",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805261838",
"country_code": "US",
"telephone_number": "970-494-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "EMILY",
"middle_name": "B",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0013186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "LPC.0013186",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.