Active NPI
Lynne Midgett Wilkerson, LCMHC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1689256018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15403
- Practice address
- 3315 Springbank LN Ste 106
Charlotte, NC 28226-3198 - Phone
- (704) 763-7056
- Fax
- (980) 819-5798
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15403 | NC | Primary |
Addresses
Primary practice location
3315 Springbank LN Ste 106
Charlotte, NC 28226-3198
Mailing address
5624 Lancelot Dr
Charlotte, NC 28270-0424
Phone (704) 763-7056
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1689256018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5624 LANCELOT DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282700424",
"telephone_number": "704-763-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 SPRINGBANK LN STE 106",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263198",
"telephone_number": "704-763-7056",
"fax_number": "980-819-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "LYNNE",
"middle_name": "MIDGETT",
"name_prefix": "Mrs.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2024-03-27",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "15403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.