Individual provider Active NPI

Adrianna Celeste Wilson, LCAS

  • Professional Counselor
  • Concord, NC
National Provider Identifier
1629562673
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
22769 Issued in NC
Practice address
6614 Willowbrook LN
Concord, NC 28027-5358
Phone
(704) 967-9418
Fax
(833) 542-3336
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 22769 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-23182 NC

Addresses

Primary practice location

6614 Willowbrook LN
Concord, NC 28027-5358

Mailing address

6614 Willowbrook LN
Concord, NC 28027-5358
Phone (704) 967-9418

Other practice location 1

1025 Vinehaven Dr NE
Concord, NC 28025-2439
Phone (704) 918-1343

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

State licenses

LicenseStateTypeSpecialty
LCAS-23182NCMDAddiction (Substance Use Disorder) Counselor
22769NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Just in Time Counseling and Consulting LLC Addiction (Substance Use Disorder) CurrentSince Jun 8, 2025 Accepting new patients
West Counseling Professional PastSince Jun 13, 2024 Accepting new patients
Carolina Pediatric Eye Specialists, PLLC PastSince Jan 20, 2009 Accepting new patients

Organizations & group practices 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1629562673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 WILLOWBROOK LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275358",
            "telephone_number": "704-967-9418",
            "fax_number": "833-542-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 WILLOWBROOK LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275358",
            "telephone_number": "704-967-9418",
            "fax_number": "833-542-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Vinehaven Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252439",
            "country_code": "US",
            "telephone_number": "704-918-1343",
            "fax_number": "704-461-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADRIANNA",
        "middle_name": "CELESTE",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "22769",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.