Jeffrey L Wilson, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3094 Issued in KS

Practice address

14201 S Mur Len Rd Ste 101
Olathe, KS 66062-1859

Phone

(913) 486-5147

NPI assigned

Aug 25, 2017

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

Credentials

Master of Arts

State licenses

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.

• Jeffrey L. Wilson

  • Professional Counselor
  • Olathe, KS
  • NPI 1689183329

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720505274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 S MUR LEN RD STE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621859",
            "telephone_number": "913-486-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 S MUR LEN RD STE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621859",
            "telephone_number": "913-486-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3094",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamila Williams, DNP
• Scott Lee Williamson, MD
• Rebecca L Willis-Nichols, LCSW
• Tracy Wills
• Brooke Wilson, PA-C
• Kevin Jerome Wilson
• Leah Wilson
• Linda Lee Wilson, BA
• Lisa Diane Wilson, PSY.D.
• William David Wilson, LPC

• Professional Counselor in Olathe, KS
• Providers in Olathe, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.