Kristen A Wilson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1723 Issued in KY

Practice address

7315 Dixie Hwy
Florence, KY 41042-2126

Phone

(859) 282-0119

Fax

(859) 282-8018

NPI assigned

Nov 9, 2010

Last updated

Apr 1, 2013By 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 7

Addresses

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.

• Counseling and Diagnostic Center, LLC

  dba Counseling & Diagnostic Centers

  • Clinical Psychologist
  • Florence, KY
  • NPI 1679644967
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1609177559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422126",
            "telephone_number": "859-282-0119",
            "fax_number": "859-282-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422126",
            "telephone_number": "859-282-0119",
            "fax_number": "859-282-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1723",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6925",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1723",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "KY",
            "license": "1723",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KY",
            "license": "1723",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "KY",
            "license": "1723",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "KY",
            "license": "1723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Agnes Wilshere, M.D.
• Holly Wilson Szczeblewski, LCSW
• Bethany Wilson, LPCC
• Brittany Bundy Wilson, LPCC-S
• Julie Ann Schwegmann Wilson, APRN
• Olivia Wilson
• Whitney Banks Winchester, OTR/L
• Sandra Windgassen, PTA
• Wing Eyecare, Inc. (Wing Eyecare)
• Taryn Wise, PSYD

• Psychologist in Florence, KY
• Providers in Florence, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.