Susan M Wilson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701002848 Issued in VA

Practice address

2616 Langhorne Rd
Ste 1
Lynchburg, VA 24501-1604

Phone

(434) 847-8300

Fax

(434) 847-8962

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Magnolia Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1336768159
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922100262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11991",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245061991",
            "telephone_number": "434-847-8300",
            "fax_number": "434-847-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LANGHORNE RD",
            "address_2": "STE 1",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011604",
            "telephone_number": "434-847-8300",
            "fax_number": "434-847-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "236395",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "473073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqui R Wilson, LPTA
• Jeffrey W Wilson, MD, MBA
• John M. Wilson, M.D.
• Noah Andrew Wilson, ATC
• Regina Marie Wilson
• Timothy Jon Wilson, O.D.
• Laura D Winch
• Windsor Manor Training Home Adult Min.
• Amanda Winebarger
• Jane Blanks Wingfield

• Mental Health Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.