Lisa Marie Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010046 Issued in PA

Practice address

5167 Butler St
Pittsburgh, PA 15201-2606

Phone

(412) 781-3990

NPI assigned

Dec 4, 2017

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 PA

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, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Favored Wellness Counseling and Consulting, LLCGroup PAC ID 2769994805, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Favored Wellness Counseling and Consulting, LLC

  • Professional Counselor
  • Moon Township, PA
  • NPI 1457986721
  Medicare reassignment Care Compare group NPD
• Southwestern Family Services

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1588600480
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1548775208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 BUTLER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012606",
            "telephone_number": "412-781-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5167 BUTLER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012606",
            "telephone_number": "412-781-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen C Wilson, LPC
• Kimberly Anne Wilson, BA, PSYCHOLOGY
• Lashawn Wilson
• Laura Grace Wilson, M.D.
• Lisa Wilson, CRNP
• Marisa Wilson, D.C.
• Mark Alan Wilson, MD, PHD
• Mark R Wilson, PA-C
• Matthew Francis Wilson, LCSW
• Megan Wilson

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.