Individual provider Active NPI

Jonathan Wilkins, LCMHC

  • Professional Counselor
  • Troy, NC
National Provider Identifier
1831589456
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11386 Issued in NU
Practice address
219 N Main St
Troy, NC 27371-3015
Phone
(919) 336-7640
NPI assigned
Feb 3, 2015
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11386 NU
Professional Counselor 101YP2500X 11386 NC
Professional Counselor 101YP2500X 11386 NU Primary

Addresses

Primary practice location

219 N Main St
Troy, NC 27371-3015

Mailing address

322 Milburn Landing Cir
Garner, NC 27529-5996
Phone (919) 633-7640

Other practice location 1

6815 Fayetteville Rd Ste 202
Durham, NC 27713-7082
Phone (919) 544-3907

Other practice location 2

1306 Paddock Dr Ste E100
Raleigh, NC 27609-4873
Phone (919) 790-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241022000705 NC Practitioner - Mental Health Counselor 7315479821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Behavioral Health ServicesGroup PAC ID 5395988133, 6 clinicians

Practice addresses (Care Compare)

104 N Main St
Suite 200
Louisburg, NC 27549-2516
Phone (919) 496-7781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11386NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Behavioral Health Services Multi-Specialty CurrentSince Oct 10, 2024 Accepting new patients
Community Care Service LLC Multi-Specialty PastSince Jan 1, 2013 Accepting new patients

Locations

104 N Main St
#200
Louisburg, NC 27549
Phone (919) 496-7781

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1831589456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MILBURN LANDING CIR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295996",
            "telephone_number": "919-633-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713015",
            "telephone_number": "919-336-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Fayetteville Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277137082",
            "country_code": "US",
            "telephone_number": "919-544-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 Paddock Dr Ste E100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276094873",
            "country_code": "US",
            "telephone_number": "919-790-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": "11386",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11386",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "11386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.