Active NPI
Leah Wilson, LPC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1699273763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71562
- Practice address
- 1322 E Woodgate
Springfield, MO 65804 - Phone
- (469) 321-3298
- NPI assigned
- Jan 24, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 71562 | TX | Primary |
Addresses
Primary practice location
1322 E Woodgate
Springfield, MO 65804
Mailing address
1322 E Woodgate St
Springfield, MO 65804-4241
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 |
|---|---|---|---|
| 71562 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1699273763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 E WOODGATE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 E WOODGATE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "469-321-3298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LEAH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.