Kristen L Wilson, LPC-MHSP (TEMP), NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5937 Issued in TN

Practice address

386 Carriage House Dr Ste B
Jackson, TN 38305-2236

Phone

(731) 868-7297

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Revelation of Hope Counseling Services, LLC

  • Mental Health Counselor
  • Jackson, TN
  • NPI 1871909689
  NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1700517299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 CARRIAGE HOUSE DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052236",
            "telephone_number": "731-868-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 CARRIAGE HOUSE DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052236",
            "telephone_number": "731-868-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "LPC-MHSP (TEMP), NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Wilson, PHARMD
• Elizabeth E Wilson, LCSW
• James M. Wilson, D.D.S.
• John Wilson
• Jonathan Wilson, MAED, ATC, LAT, CSCS
• Laura Wilson, PT, DPT
• Salah Wilson, MSW
• Shirley Ann Wilson, CASE MANAGER
• Tina Wilson, M.D.
• Terry L Winbush, LDC

• Mental Health Counselor in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.