Charles Timothy Wilcox, L.P.C., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

89 Issued in LA

Practice address

2520 Line Ave
Shreveport, LA 71104-3022

Phone

(318) 221-9300

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699898874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "ELYSIAN FIELDS",
            "state": "TX",
            "postal_code": "756420178",
            "telephone_number": "318-221-9300",
            "fax_number": "318-212-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043022",
            "telephone_number": "318-221-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "CHARLES",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "L.P.C., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "1571",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherman S Wiggins, M.D.
• Shuntella Wiggins
• Richard Lee Wigle, MD
• Maison Wilbanks
• Elbony Rosha Wilcott
• Johnessa Wilcox
• Elizabeth S. Wild, MD, MS
• Jessica Anne Wilden, MD
• Angellun Vanessa Wilder, LCSW
• Rebecca J Wilder, DROT, LOTR

• Marriage & Family Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.