Individual provider Active NPI

Robyn Ann Wilson, M.ED., LPCA

  • Mental Health Counselor
  • Berea, KY
National Provider Identifier
1922970540
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
301803 Issued in KY
Practice address
208 Kidd Dr
Berea, KY 40403-9593
Phone
(859) 428-7862
Fax
(859) 999-7869
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 301803 KY
Mental Health Counselor 101YM0800X 301803 KY Primary

Addresses

Primary practice location

208 Kidd Dr
Berea, KY 40403-9593

Mailing address

PO Box 802
Berea, KY 40403-0802
Phone (859) 428-7862

Other practice location 1

229 Churchill Dr Ste 2
Richmond, KY 40475-3218
Phone (859) 428-7862

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
301803KYMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Counseling, LLC Mental Health PastSince Apr 16, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1922970540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030802",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 KIDD DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039593",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Churchill Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753218",
            "country_code": "US",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "credential": "M.ED., LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KY",
            "license": "301803",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "301803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.