Kaitlin M. Wilson, PLMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0014713 Issued in CO

Practice address

211 W Main St
Sterling, CO 80751-3168

Phone

(970) 522-4392

Fax

(709) 522-2217

NPI assigned

Jun 11, 2015

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1851772156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 AVENUE D",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614650",
            "telephone_number": "308-635-3171",
            "fax_number": "308-632-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513168",
            "telephone_number": "970-522-4392",
            "fax_number": "709-522-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Avenue D",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614650",
            "country_code": "US",
            "telephone_number": "308-635-3171",
            "fax_number": "308-632-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAITLIN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10544",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0014713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Sterling, CO
• Providers in Sterling, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.