Active NPI
Christina Marie Wilson, L.P.C.
- Mental Health Counselor
- Anchorage, AK
National Provider Identifier
1831794114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 117461
- Practice address
- 707 A Street
Suite 115
Anchorage, AK 99501 - Phone
- (907) 903-5609
- NPI assigned
- Dec 3, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 117461 | AK | Primary |
Addresses
Primary practice location
707 A Street
Suite 115
Anchorage, AK 99501
Mailing address
2601 Manmouth Avenue
Anchorage, AK 99502
Phone (907) 903-5609
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 |
|---|---|---|---|
| 117461 | AK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1831794114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 MANMOUTH AVENUE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99502",
"telephone_number": "907-903-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 A STREET",
"address_2": "SUITE 115",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99501",
"telephone_number": "907-903-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "117461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.