Active NPI
Priscilla Gann Wilson, PH.D., LPC
- Counselor
- Anniston, AL
National Provider Identifier
1770054629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3146
- Practice address
- 1028 W 13TH St
Anniston, AL 36201-4434 - Phone
- (205) 534-6539
- NPI assigned
- Dec 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3146 | AL | |
| Professional Counselor | 101YP2500X | 3146 | AL | |
| Counselor | 101Y00000X | 3146 | AL | Primary |
Addresses
Primary practice location
1028 W 13TH St
Anniston, AL 36201-4434
Mailing address
1028 W 13TH St
Anniston, AL 36201-4434
Phone (205) 534-6539
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3146 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1770054629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 W 13TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014434",
"telephone_number": "205-534-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 W 13TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014434",
"telephone_number": "205-534-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PRISCILLA",
"middle_name": "GANN",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "3146",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3146",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.