Active NPI
Melvin R. Wilson, PH.D,, LPC, NCC
- Professional Counselor
- Hot Springs, AR
National Provider Identifier
1639372212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0411046
- Practice address
- 105 Reserve St
Hot Springs, AR 71901-4195 - Phone
- (501) 624-4411
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P0411046 | AR | Primary |
Addresses
Primary practice location
105 Reserve St
Hot Springs, AR 71901-4195
Mailing address
228 Serendipity TRL
Hot Springs, AR 71913-8510
Phone (501) 525-3023
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0411046 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639372212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 SERENDIPITY TRL",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719138510",
"telephone_number": "501-525-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RESERVE ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719014195",
"telephone_number": "501-624-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MELVIN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D,, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0411046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.