Active NPI
Stephanie Wilson
- Professional Counselor
- Springfield, OH
National Provider Identifier
1821464330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1300750
- Practice address
- 651 S Limestone St
Springfield, OH 45505-1965 - Phone
- (937) 328-7266
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- 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 | C.1300750 | OH | Primary |
Addresses
Primary practice location
651 S Limestone St
Springfield, OH 45505-1965
Mailing address
4881 Sugar Maple Dr
88 Mdos/Sgow
Wright Patterson Afb, OH 45433-5529
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1300750 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1821464330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"address_2": "88 MDOS/SGOW",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "454335529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 S LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051965",
"telephone_number": "937-328-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1300750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.