Marsha Marie Wilson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-21316 Issued in AZ

Practice address

3950 W Chandler Blvd Apt 2014
Chandler, AZ 85226-1893

Phone

(573) 353-2039

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CH MH Services Ma, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Peabody, MA
  • NPI 1083593024
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1851008502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 W CHANDLER BLVD APT 2014",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261893",
            "telephone_number": "573-353-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 W CHANDLER BLVD APT 2014",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261893",
            "telephone_number": "573-353-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARSHA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-21316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaymie Lynn Wilson
• Jonathan Wilson, BS
• Kimberlyn Wilson
• Malia Wilson
• Marc Edward Wilson
• Rebecca Rae Wilson, M.A., CCC-SP
• Sarah Wilson, PA-C
• Stacy Wimmer, LCSW
• Ella Victoria Winchell
• Winding Woods Manor L,L.C.

• Mental Health Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.