Wilson Professional Counseling & Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007401 Issued in GA

Legal business name

WILSON PROFESSIONAL COUNSELING & CONSULTING, LLC

Practice address

500 Old Bremen Rd
Suite 101
Carrollton, GA 30117-5216

Phone

(770) 820-3070

NPI assigned

May 14, 2014

Last updated

May 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kenyatta Wilson, LPCNPI 1275710667

Title

Counselor

Phone

(770) 820-3070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenyatta Wilson, M.S.

  • Mental Health Counselor
  • Carrollton, GA
  • NPI 1275710667

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1568873420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD BREMEN RD",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301175216",
            "telephone_number": "770-820-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD BREMEN RD",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301175216",
            "telephone_number": "770-820-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PROFESSIONAL COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "770-820-3070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughn Williams, P.T.
• Caley Williamson Williamson
• Colby Jon Williamson, CRNA
• Deborah Susanne Willis, CSW007966
• Michael Andrew Wilshire, MD
• Britt Callahan Wilson, M.D.
• Kenyatta Wilson, M.S.
• Samory Wilson, RN
• Tracy C Wilson, M.ED.
• Wesley E Wilvert, D.C.

• Professional Counselor in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.