Faith Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

129383 Issued in IA

Practice address

666 Walnut St Ste 1610
Des Moines, IA 50309-3974

Phone

(515) 369-0034

NPI assigned

Dec 19, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4

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.

• Grapevine Clinical LLC

  • Clinical Social Worker
  • West Des Moines, IA
  • NPI 1952837809
  NPD

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1902614282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 WALNUT ST STE 1610",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 WALNUT ST STE 1610",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093974",
            "telephone_number": "515-369-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "129383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Tree Therapy, LLC.
• Willowsong Midwifery Care
• Jennifer Fae Wilsbacher, PA-C
• Annerose Wilson
• Caitlin Mary Wilson
• John Elwood Wilson, M.D.
• Kaylee Wilson
• Marcie Lynne Wilson, ARNP
• Susan Leann Wilson, ARNP A-GNP-C
• Tereasa Kelley Wilson, CRNA

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.