Active NPI
Trevor A. Wilkerson, LPC
- Professional Counselor
- Boone, NC
National Provider Identifier
1801845128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5250
- Practice address
- 895 State Farm Rd
Suite 508
Boone, NC 28607-4917 - Phone
- (828) 264-9007
- Fax
- (828) 262-5687
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5250 | NC | Primary |
Addresses
Primary practice location
895 State Farm Rd
Suite 508
Boone, NC 28607-4917
Mailing address
132 Poplar Grove Connector
Suite B
Boone, NC 28607-5915
Phone (828) 264-8759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1412E | Other | NC | BLUECROSS BLUESHIELD OF N |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5250 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801845128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 POPLAR GROVE CONNECTOR",
"address_2": "SUITE B",
"city": "BOONE",
"state": "NC",
"postal_code": "286075915",
"telephone_number": "828-264-8759",
"fax_number": "828-262-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 STATE FARM RD",
"address_2": "SUITE 508",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "828-264-9007",
"fax_number": "828-262-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "TREVOR",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF N",
"identifier": "1412E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.