Wilson Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILSON COUNSELING, LLC

Doing business as

Wilson Place

Practice address

1312 Westen St
Bowling Green, KY 42104-3352

Phone

(270) 904-1072

Fax

(270) 904-1073

NPI assigned

Sep 30, 2015

Organization subpart

Yes

Parent organization

WILSON COUNSELING, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Kim R Wilson, LCSW

Title

President

Phone

(270) 904-1072

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilson Place Doing business as

Electronic endpoints 2

Tax ID family

Wilson Counseling LLC2 organizations share this tax ID, including this one

Part of

Wilson Counseling LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wilson Counseling LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1427480060
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wilson Counseling LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1427480060
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly R Wilson, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1255639431
  NPD
• Ashley Barnes, CSW

  • Social Worker
  • Bowling Green, KY
  • NPI 1518341619
  NPD (past)
• David Robert Rupsch II, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1033526934
  NPD (past)
• Angelia Yoebstl, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Bowling Green, KY
  • NPI 1912362310
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1649640921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 WESTEN ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043352",
            "telephone_number": "270-904-1072",
            "fax_number": "270-904-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 WESTEN ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043352",
            "telephone_number": "270-904-1072",
            "fax_number": "270-904-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILSON COUNSELING, LLC",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-904-1072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100300070",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wilsoncounselingllc.com",
            "affiliation": "N",
            "address_1": "1312 Westen St",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wilsoncounselingllc.com",
            "affiliation": "Y",
            "affiliationName": "Wilson Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1312 Westen St",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wilson Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy L Willis, DMD
• Kevin Willoughby, LCSW
• Steffan Willoughby, PEER SUPPORT SPEC.
• Noah Wills
• Wilson Counseling LLC
• Alexis Renee Wilson
• Allison L Wilson, DPT
• Amanda Wilson
• Bionca Wilson
• Dava R Wilson, CSW

• Community/Behavioral Health Agency in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.