Active NPI
Suellen Nichole Wilcox, LPCC
- Professional Counselor
- Mount Vernon, OH
National Provider Identifier
1902108657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0602020
- Practice address
- 118 E High St
Mount Vernon, OH 43050-3443 - Phone
- (614) 260-2384
- NPI assigned
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0602020 | OH | Primary |
Addresses
Primary practice location
118 E High St
Mount Vernon, OH 43050-3443
Mailing address
118 E High St
Mount Vernon, OH 43050-3443
Phone (614) 260-2384
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 |
|---|---|---|---|
| E.0602020 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1902108657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E HIGH ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430503443",
"telephone_number": "614-260-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E HIGH ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430503443",
"telephone_number": "614-260-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "SUELLEN",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0602020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.