Marie Elizabeth Wilson, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

103365 Issued in KY

Practice address

4339 Winston Ave
Covington, KY 41015-1739

Phone

(859) 835-2573

Fax

(859) 727-6327

NPI assigned

Jul 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marie E Wesselman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1770894073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573",
            "fax_number": "859-727-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573",
            "fax_number": "859-727-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "103365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100291250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "WESSELMAN",
            "middle_name": "E",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Willmoth-Miller, APRN
• Lindsey Willoughby, DMD
• Bailey Anne Wills, M.A., CCC-SLP
• Madeline Elisabeta Wilmink
• Keiarra Marquel Wilson
• Nicole Wilson, COTA/L
• Jennifer Winebrenner, B.S.
• Ashley Winford
• Patricia Winford, RN
• Katelyn Winter

• Counselor in Covington, KY
• Providers in Covington, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.