Jacob Wilhelm, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018040841 Issued in MO

Practice address

303 N Stadium Blvd FL 2
Columbia, MO 65203-1493

Phone

(855) 593-4349

NPI assigned

Apr 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 616 Counseling Professional Corporation

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1467925222

  Professional

  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1700449527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KIPLING WAY APT 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018137",
            "telephone_number": "417-214-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N STADIUM BLVD FL 2",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031493",
            "telephone_number": "855-593-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "JACOB",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018040841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "receptionist@mycounselor.online",
            "affiliation": "N",
            "address_1": "303 N Stadium Blvd Fl 2",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652031493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace E Wildenhaus, MSW, LCSW
• Mark F Wildman, PA-C
• Brandon Michael Wiler, DPT, ATC
• Cara Wilfong, DC
• Christopher John Wilhelm, M.D.
• Rodger Ellis Wilhite, D.O.
• Edward R Wilkerson, LAT, ATC
• Wilks Counseling LLC
• Abram Dillon Wilks, PLCSW
• Claire Willard

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.