Individual provider Active NPI

Franchesta Merritt Wilson, LPC

  • Professional Counselor
  • Royal Oak, MI
National Provider Identifier
1730486713
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016525 Issued in MI
Practice address
30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990
Phone
(248) 824-2529
Fax
(248) 288-1362
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1700 MD
Professional Counselor 101YP2500X 6401016525 MI Primary

Addresses

Primary practice location

30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990

Mailing address

7919 E Vernor Hwy
Detroit, MI 48214-2461
Phone (240) 463-2055

Other practice location 1

7801 Old Branch Ave
Clinton, MD 20735-1608
Phone (301) 856-8516

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

LicenseStateTypeSpecialty
LC1700MDMDProfessional Counselor
6401016525MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1730486713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 E VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142461",
            "telephone_number": "240-463-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730990",
            "telephone_number": "248-824-2529",
            "fax_number": "248-288-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 Old Branch Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207351608",
            "country_code": "US",
            "telephone_number": "301-856-8516",
            "fax_number": "301-856-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "FRANCHESTA",
        "middle_name": "MERRITT",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.