Individual provider Active NPI

Gail Wilson, MS

  • Counselor
  • Tamarac, FL
National Provider Identifier
1831471002
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
7710 NW 71St CT Ste 301
Tamarac, FL 33321-2932
Phone
(754) 201-3090
Fax
(754) 201-3090
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

7710 NW 71St CT Ste 301
Tamarac, FL 33321-2932

Mailing address

7710 NW 71St CT Ste 301
Tamarac, FL 33321-2932
Phone (754) 201-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240410002245 FL Practitioner - Marriage and Family Therapist 3274971171 Reassigns benefits to 2 organizations
I20250306000563 SC Practitioner - Marriage and Family Therapist 3274971171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Dec 10, 2024 Accepting new patients
Wilson Wellness Group, LLC CurrentSince Jan 30, 2024 Accepting new patients
Spectrum Programs Inc Counselor Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

7710 NW 71st Ct
Ste 301
Tamarac, FL 33321
Phone (239) 533-3570

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1831471002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 301",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212932",
            "telephone_number": "754-201-3090",
            "fax_number": "754-201-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 301",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212932",
            "telephone_number": "754-201-3090",
            "fax_number": "754-201-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GAIL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.