Richard Wilson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0132231 Issued in NM

Practice address

1421 Luisa St Ste C
Santa Fe, NM 87505-4073

Phone

(505) 231-4804

NPI assigned

Jul 13, 2010

Sex

Male

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

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1902118409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-231-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-231-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RICHARD",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0132231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel M Wilner, DPM
• Frances A Wilson, LPCC
• Lisa Ann Wilson, D.O.M
• Max E Wilson, LMFT
• Melissa Christine Wilson, SLP
• Stanley Wilson, M.A,
• Susan Clement Wilson, MSC, MA, LGC, LMHC
• Deborah K Wimberly, M.ED.
• Michelle Windham
• Winds of Choice Chiropractic Center, LLC

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.