Loree Ann Wilson, M.A./PPS/APCC

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

160255235 Issued in CA

Practice address

5213 El Mercado Pkwy Ste a
Santa Rosa, CA 95403-1301

Phone

(707) 571-1714

NPI assigned

Feb 25, 2013

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

Master of Arts

State licenses

Practice roles

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.

• Rincon Valley Union School District

  • Local Education Agency (LEA)
  • Santa Rosa, CA
  • NPI 1356559678
  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598005787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 YULUPA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 EL MERCADO PKWY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031301",
            "telephone_number": "707-571-1714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953540510",
            "country_code": "US",
            "telephone_number": "209-669-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LOREE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A./PPS/APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "948",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "160255235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara A Wilson Bilbro
• Andrew Tyler Wilson
• Carl Wilson, MD
• Jennifer J. Wilson
• Julie Anne Wilson, MFTI
• Lynda Wilson, LMFT
• Mary Alice Wilson
• Paula Lee Wilson, MASTER'S
• Robyn Wilson, M.A.
• Sean Scott Wilson, D.D.S

• School Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.