Lillian Clemons Wilson, MA, LPC, NCC, MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

50673

Practice address

714 28TH Ave
Tuscaloosa, AL 35401-1821

Phone

(205) 242-2303

NPI assigned

Jan 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1699045260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COUNTRY CLUB LN",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012531",
            "telephone_number": "205-242-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 28TH AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011821",
            "telephone_number": "205-242-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LILLIAN",
        "middle_name": "CLEMONS",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "07355",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "50673",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Wilson, CRNP
• Gwendolyn Jacqueline Wilson
• Holley M Wilson, CRNP
• Jessica Wilson, MA, ALC
• Kelsey Wilson, LPC
• Mackenzie Steger Wilson, OTD, OTR/L
• Marc David Wilson, OT
• Marcus Garvey Wilson, MD
• Nichelle Page Wilson
• Rhonda Wilson

• Mental Health Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.