Individual provider Active NPI

Tasha Danielle Wilson, LPC

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1861677544
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6849 Issued in NC
Practice address
387 S Swing Rd
Greensboro, NC 27409-2009
Phone
(336) 327-4453
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6849 NC Primary

Addresses

Primary practice location

387 S Swing Rd
Greensboro, NC 27409-2009

Mailing address

387 S Swing Rd
Greensboro, NC 27409-2009
Phone (336) 327-4453

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
I20240111000545 NC Practitioner - Mental Health Counselor 3870944143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neil Group IncGroup PAC ID 2365581196, 19 clinicians

Practice addresses (Care Compare)

1399 Ashleybrook LN
Suite 100
Winston Salem, NC 27103-2961
Phone (336) 774-2194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6849NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Neil Group, Inc Current Accepting new patients
The Neil Group, Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Wilson Counseling and Wellness, PLLC Past Accepting new patients

Locations

1301 Eastchester Dr
Ste 201
High Point, NC 27265

1399 Ashleybrook Ln
Winston Salem, NC 27103

1399 Ashleybrook Ln
Ste 100
Winston Salem, NC 27103
Phone (336) 446-9080

110 W Elm St
Yadkinville, NC 27055
Phone (336) 575-3747

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1861677544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 S SWING RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092009",
            "telephone_number": "336-327-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 S SWING RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092009",
            "telephone_number": "336-327-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TASHA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.