Emily Catherine Wilson, LPC, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9449 Issued in VA

Practice address

9017 Forest Hill Ave Ste 2a
North Chesterfield, VA 23235-3051

Phone

(804) 502-4532

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Equinox Behavioral Health, LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1770402620
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1629118997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 WHITWORTH RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354629",
            "telephone_number": "804-502-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 FOREST HILL AVE STE 2A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353051",
            "telephone_number": "804-502-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Whitworth Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354629",
            "country_code": "US",
            "telephone_number": "804-502-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "LPC, LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-14-9449",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4947401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willing Well, PLLC
• Julia Willinger
• Carrie Lynn Willis, SLP
• Nathan Willis
• Chelsea Gentzler Wilson, PA
• Emily G Wilson, NP
• Felecia Wilson
• Jakeela Wilson, HIS
• Jaquell Wilson
• Jayla Wilson

• Behavior Analyst in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.