Organization Active NPI

Wilks Counseling LLC

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1841919990
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILKS COUNSELING LLC
Doing business as
Abram Dillon Wilks
Practice address
3612 Chatham Dr
Columbia, MO 65203-5638
Phone
(573) 673-1183
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Mr. Abram Dillon Wilks, LCSWNPI 1831382613
Title
Owner
Phone
(573) 673-1183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3612 Chatham Dr
Columbia, MO 65203-5638

Mailing address

3612 Chatham Dr
Columbia, MO 65203-5638
Phone (573) 673-1183

Other names 1

  • Abram Dillon Wilks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110003627 MO Part B Supplier - Clinic/Group Practice 9537510953 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1841919990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 CHATHAM DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035638",
            "telephone_number": "573-673-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 CHATHAM DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035638",
            "telephone_number": "573-673-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-673-1183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abram Dillon Wilks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.