Audrey Wilson, LCPC, CADC, CTP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.012889 Issued in IL

Practice address

800 E Diehl Rd Ste 100
Naperville, IL 60563-2389

Phone

(630) 740-8922

NPI assigned

Feb 1, 2019

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audrey Wilson, LCPC

  • Mental Health Counselor
  • Oswego, IL
  • NPI 1083499255
  NPD Authorized official
• Naper Clinical Behavioral Services Inc

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1760461578

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1588129779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N MILL ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DIEHL RD STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632389",
            "telephone_number": "630-740-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AUDREY",
        "credential": "LCPC, CADC, CTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.012889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Tree Therapy Center PLLC
• Willowglen Academy (Broadstep Academy-Illinois Inc)
• Megan Rita Wills
• Sarah Elizabeth Wills, D.C.
• Carla Louise Willy, RN, BSN, CCM
• Emily Ann Wilson
• James E. Wilson, M.D.
• Judy L Wilson, PSY.D.
• Sydney Wilson
• Tiffani Wilson

• Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.