Mark Andrew Wilkerson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7565 Issued in WI

Practice address

1835 E Edgewood Dr Ste 575
Appleton, WI 54913-9407

Phone

(920) 944-9407

Fax

(920) 944-9413

NPI assigned

Aug 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.wilkerson@25254901.chartlogic.direct-ci.com

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.

• Wilkerson Counseling Services LLC

  • Professional Counselor
  • Appleton, WI
  • NPI 1700643293
  NPD Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1780232231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2280 GLEN ROSE LN",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429794",
            "telephone_number": "816-210-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E EDGEWOOD DR STE 575",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139407",
            "telephone_number": "920-944-9407",
            "fax_number": "920-944-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 N Westhill Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549146533",
            "country_code": "US",
            "telephone_number": "816-210-2068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Rae Wilhelmi, APNP
• Ethan William Wilhorn, SAC-IT
• Michelle A Wilke, LPC
• Wilkerson Counseling Services LLC
• Anne Wilkerson, MT-BC
• Suzanne M Wilkerson, MD
• Sara Elizabeth Willcome, COTA
• Steven S Wille, LPC
• Nicole Willes
• Kimberly Williams-Nyberg, LPC, SAC

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.