Active NPI
Heidi Ann Wilson, LMHC
- Mental Health Counselor
- Mashpee, MA
National Provider Identifier
1710313713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10000167
- Practice address
- 800 Falmouth Rd Unit 306
Mashpee, MA 02649-3303 - Phone
- (800) 599-1771
- NPI assigned
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10000167 | MA | Primary |
Addresses
Primary practice location
800 Falmouth Rd Unit 306
Mashpee, MA 02649-3303
Mailing address
19 Caravel Dr
East Falmouth, MA 02536-3962
Phone (774) 255-0303
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 |
|---|---|---|---|
| 10000167 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1710313713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CARAVEL DR",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025363962",
"telephone_number": "774-255-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 FALMOUTH RD UNIT 306",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493303",
"telephone_number": "800-599-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HEIDI",
"middle_name": "ANN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10000167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.