Jessica Wilson, MA, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC03973 Issued in AL

Practice address

3802 Ofc. Trevor S. Phillips Ave
Suite a
Tuscaloosa, AL 35401

Phone

(205) 722-7294

NPI assigned

Dec 19, 2022

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1942912217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SOUTHVIEW LN STE 103-254",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056390",
            "telephone_number": "205-722-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OFC. TREVOR S. PHILLIPS AVE",
            "address_2": "SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-722-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "credential": "MA, ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC03973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "3802 Ofc. Trevor S. Phillips Ave",
            "address_2": "Suite A",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willis J. Meriwether, DMD, PC
• Emily Elizabeth Wilson
• Gwendolyn Wilson, CRNP
• Gwendolyn Jacqueline Wilson
• Holley M Wilson, CRNP
• Kelsey Wilson, LPC
• Lillian Clemons Wilson, MA, LPC, NCC, MAC
• Mackenzie Steger Wilson, OTD, OTR/L
• Marc David Wilson, OT
• Marcus Garvey Wilson, MD

• Mental Health Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.