Individual provider Active NPI

Kerri- Ann Latoya Wilson - Jones

  • Mental Health Counselor
  • Metuchen, NJ
National Provider Identifier
1770166225
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00357300 Issued in NJ
Practice address
312 Amboy Ave Ste 2
Metuchen, NJ 08840-2455
Phone
(732) 902-2181
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00357300 NJ Primary

Addresses

Primary practice location

312 Amboy Ave Ste 2
Metuchen, NJ 08840-2455

Mailing address

312 Amboy Ave
Metuchen, NJ 08840-2455
Phone (732) 902-2181

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
37AC00357300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey CurrentSince May 9, 2021 Accepting new patients

Locations

312 Amboy Ave
Ste 2
Metuchen, NJ 08840
Phone (848) 219-2874

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1770166225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 AMBOY AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402455",
            "telephone_number": "732-902-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 AMBOY AVE STE 2",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402455",
            "telephone_number": "732-902-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON - JONES",
        "first_name": "KERRI- ANN",
        "middle_name": "LATOYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00357300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.