Ronald Lee Wilcoxson, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0001081 Issued in CO

Practice address

2490 W 26TH Ave Ste 120a
Denver, CO 80211-5317

Phone

(303) 925-4580

Fax

(303) 925-4580

NPI assigned

Oct 28, 2020

Last updated

Nov 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado in-Home Counseling

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1093220006
  Medicare reassignment NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1942800073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 IRIS ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332940",
            "telephone_number": "303-880-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE STE 120A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115317",
            "telephone_number": "303-925-4580",
            "fax_number": "303-925-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Iris St",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800332940",
            "country_code": "US",
            "telephone_number": "303-880-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOXSON",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0001081",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Ledbetter Wilcox, RN
• Christy Wilcox, M.S.P.T
• Darren Patrick Wilcox, MS PT
• Robin Wilcox
• Teresa A Wilcox, APRN BC
• Wild Awakening Counseling and Healing LLC
• Wild Crescent Therapy LLC (Wild Crescent Therapy Studio)
• Wild Juniper Counseling, LLC
• Sharon M Wild
• Daniel Wilde

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.