Active NPI
Denise Renee Wilson, RN, BSN, MAC
- Mental Health Counselor
- Butler, PA
National Provider Identifier
1689868812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Samaritan Counseling Center
1201 North Main Street Ext.
Butler, PA 16001-1537 - Phone
- (724) 287-5449
- NPI assigned
- Aug 30, 2007
- Last updated
- Aug 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN217291L | PA |
Addresses
Primary practice location
Samaritan Counseling Center
1201 North Main Street Ext.
Butler, PA 16001-1537
Mailing address
1201 N Main Street Ext
Butler, PA 16001-1537
Phone (724) 287-5449
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN217291L | PA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center of Western PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Voluntary or Charitable Agency
- Sewickley, PA
- NPI 1629093265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1689868812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N MAIN STREET EXT",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011537",
"telephone_number": "724-287-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAMARITAN COUNSELING CENTER",
"address_2": "1201 NORTH MAIN STREET EXT.",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011537",
"telephone_number": "724-287-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DENISE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "RN, BSN, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PA",
"license": "RN217291L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.