Emily Nicole Wilson, LPC, LMFT, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2005007 Issued in AR

Practice address

403 West Oak Street
Suite 300
El Dorado, AR 71730

Phone

(870) 639-4527

Fax

(318) 841-2800

NPI assigned

Aug 23, 2011

Last updated

Nov 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Emily Nicole Downs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bellah Medical, LLC

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1154561223
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1598045551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST OAK STREET",
            "address_2": "SUITE 300",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-639-4527",
            "fax_number": "318-841-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WEST OAK STREET",
            "address_2": "SUITE 300",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-639-4527",
            "fax_number": "318-841-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "LPC, LMFT, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3129",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6862",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1114",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2005007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "DOWNS",
            "middle_name": "NICOLE",
            "credential": "LPC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sesan J Williams
• Vanessa Natasaha Williams, M.S., LPC
• Shanetta Willis
• Willow Path Counseling LLC
• Casey Renee Wilson, APRN
• Larkin Monroe Wilson III, DDS
• Merle Dean Wiseman, MD
• Henley Lane Wood
• Nikisha Monique Woods
• WPM Community Pharmacies, LLC (Allcare Pharmacy)

• Professional Counselor in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.