Nikole C Wilson, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12768-MH-CC Issued in MA

Practice address

875 Massachusetts Ave Ste 55
Cambridge, MA 02139-3067

Phone

(617) 902-0763

NPI assigned

Jan 30, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Atlas Counseling & Consulting LLC

  • Mental Health Counselor
  • Cambridge, MA
  • NPI 1295462877
  NPD Authorized official
• Solace Counseling

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1265759492
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1558825992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COOPER ST UNIT 128",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 55",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-902-0763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 N Summerlin Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012900",
            "country_code": "US",
            "telephone_number": "407-574-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NIKOLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15551",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12768-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen F Wilson, PH.D.
• Kelly R Wilson, PH.D.
• Loren Jay Wilson, DMD
• Lucy Wilson, RN
• Nicholas Wilson, P.T.
• Samuel B Wilson, M.D.
• Sarah Steuer Wilson
• Emily Winakur, M.S.ED.
• Windsor Health Center
• Windsor Health Center

• Mental Health Counselor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.