Paula Wilson LPC LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PAULA WILSON LPC LLC

Practice address

3722 S Straits Hwy
Indian River, MI 49749-5117

Phone

(231) 622-3323

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Paula WilsonNPI 1730486770

Title

LPC

Phone

(231) 622-3323

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula Marie Wilson, LPC

  • Counselor
  • Indian River, MI
  • NPI 1730486770
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1720711609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8378 DEKRUIF RD",
            "city": "LEVERING",
            "state": "MI",
            "postal_code": "497559740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495117",
            "telephone_number": "231-622-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA WILSON LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "231-622-3323"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Indian River, MI
• Providers in Indian River, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.