Organization Active NPI

Kaycee Wilson Counseling LLC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1902592249
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KAYCEE WILSON COUNSELING LLC
Practice address
5420 N College Ave Ste LL8
Indianapolis, IN 46220-3188
Phone
(463) 266-9774
Fax
(317) 600-3177
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Kaycee Wilson, LMHCNPI 1396241162
Title
Owner
Phone
(812) 890-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5420 N College Ave Ste LL8
Indianapolis, IN 46220-3188

Mailing address

5420 N College Ave Ste LL8
Indianapolis, IN 46220-3188
Phone (463) 266-9774

National Provider Directory

National Provider Directory

Locations

5420 N College Ave
Ste LL8
Indianapolis, IN 46220
Phone (463) 266-9774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1902592249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 N COLLEGE AVE STE LL8",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203188",
            "telephone_number": "463-266-9774",
            "fax_number": "317-600-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N COLLEGE AVE STE LL8",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203188",
            "telephone_number": "463-266-9774",
            "fax_number": "317-600-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYCEE WILSON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAYCEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-890-2522",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.