Jeffrey L. Wilson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3094 Issued in KS

Legal business name

JEFFREY L. WILSON

Practice address

14201 S Mur Len Rd Ste 101
Olathe, KS 66062-1859

Phone

(913) 486-5147

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L Wilson, LPCNPI 1720505274

Title

Owner

Phone

(913) 486-5147

Specialties & licenses 2

Addresses

Other names 1

• Jeffrey L. Wilson MA LPC NCC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey L Wilson, MA, LPC, NCC

  • Professional Counselor
  • Olathe, KS
  • NPI 1720505274

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689183329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 S MUR LEN RD STE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621859",
            "telephone_number": "913-486-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 S MUR LEN RD STE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621859",
            "telephone_number": "913-486-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-486-5147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3094",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey L. Wilson MA LPC NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Olathe, KS
• Providers in Olathe, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.