Racheal Wilson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2505022 Issued in OH

Practice address

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743

Phone

(440) 392-2222

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1780283465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 OAKMOUNT RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214005",
            "telephone_number": "216-407-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE STE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605743",
            "telephone_number": "440-392-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RACHEAL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2304790",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilson@behavioralwellnessgroup.com",
            "affiliation": "Y",
            "affiliationName": "Glovan Pollak and Associates LLC",
            "address_1": "8224 Mentor Ave Ste 208",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440605743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilson@behavioralwellnessgroup.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8224 Mentor Ave Ste 208",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440605743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.behavioralwellnessgroup.com",
            "affiliation": "N",
            "address_1": "8224 Mentor Ave Ste 208",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440605743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mandy Lynne Willis, PT
• Amanda Wilson
• Cheryl A. Wilson, LPCC
• Jennifer Wilson, RN, FNP
• Lawrence H Wilson, MD
• Taquita Wimberly Johnson, APRN.CNP
• Tae'Lor Ann Windham
• Karen L Winslow
• Stephanie Gale Winterer, C.N.P.
• Pamela Winters

• Professional Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.