Active NPI
Lauren Elizabeth Wilson, LPC
- Professional Counselor
- Williamsburg, VA
National Provider Identifier
1659006559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011634
- Practice address
- 1657 Merrimac TRL
Williamsburg, VA 23185-5624 - Phone
- (757) 585-1609
- NPI assigned
- Jul 24, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701011634 | VA | Primary |
Addresses
Primary practice location
1657 Merrimac TRL
Williamsburg, VA 23185-5624
Mailing address
940 Churchill LN
Newport News, VA 23608-7727
Phone (757) 870-7303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011634 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658620800000",
"number": "1659006559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 CHURCHILL LN",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236087727",
"telephone_number": "757-870-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855624",
"telephone_number": "757-585-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-24",
"last_updated": "2022-07-24",
"certification_date": "2022-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.