Individual provider Active NPI

Wesley Wilkes, LPC

  • Counselor
  • Birmingham, AL
National Provider Identifier
1598710956
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2059 Issued in AL
Practice address
3000 Southlake Park
Suite 100
Birmingham, AL 35244-3608
Phone
(205) 987-0724
Fax
(205) 987-0725
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2059 AL Primary

Addresses

Primary practice location

3000 Southlake Park
Suite 100
Birmingham, AL 35244-3608

Mailing address

3000 Southlake Park
Suite 100
Birmingham, AL 35244-3608
Phone (205) 987-0724

Other identifiers 1

IdentifierTypeStateIssuer
51510660OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002351 AL Practitioner - Mental Health Counselor 8921462532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry South IncGroup PAC ID 3870649171, 7 clinicians

Practice addresses (Care Compare)

3000 Southlake Park
Suite 100
Hoover, AL 35244-3608
Phone (205) 987-0724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2059ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry South, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

3000 Southlake Park
Ste 100
Hoover, AL 35244
Phone (205) 987-0724

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1598710956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SOUTHLAKE PARK",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443608",
            "telephone_number": "205-987-0724",
            "fax_number": "205-987-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SOUTHLAKE PARK",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443608",
            "telephone_number": "205-987-0724",
            "fax_number": "205-987-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "WESLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51510660",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.