Active NPI
Kaitlyn Elizabeth Wilson, MA
- Mental Health Counselor
- Stroudsburg, PA
National Provider Identifier
1619865136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 811 Monroe St
Stroudsburg, PA 18360-1731 - Phone
- (570) 856-4232
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
811 Monroe St
Stroudsburg, PA 18360-1731
Mailing address
308 Willow St
East Stroudsburg, PA 18301-1217
Phone (570) 269-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Intentions, LLC | Mental Health | Current | Accepting new patients |
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": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1619865136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WILLOW ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183011217",
"telephone_number": "570-269-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MONROE ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183601731",
"telephone_number": "570-856-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KAITLYN",
"middle_name": "ELIZABETH",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.