Individual provider Active NPI

Virginia Wilson, LPC

  • Professional Counselor
  • Picayune, MS
National Provider Identifier
1750631420
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2850 Issued in LA
Practice address
1212 E Canal St
Picayune, MS 39466-4706
Phone
(601) 559-6616
NPI assigned
Sep 10, 2012
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2850 LA Primary

Addresses

Primary practice location

1212 E Canal St
Picayune, MS 39466-4706

Mailing address

19411 Helenberg Rd Ste 101
Covington, LA 70433-5199
Phone (985) 893-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004360 LA Practitioner - Mental Health Counselor 7012369333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1051 Gause Blvd
Slidell, LA 70458-2951
Phone (985) 641-7577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Townsend Treatment Center, LLC Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1051 Gause Blvd
Slidell, LA 70458
Phone (985) 641-7577

1051 Gause Blvd
Ste 480
Slidell, LA 70458
Phone (985) 898-7420

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1750631420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19411 HELENBERG RD STE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335199",
            "telephone_number": "985-893-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664706",
            "telephone_number": "601-559-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.