Jennifer Megan Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

242479 Issued in KY

Practice address

332 Highland Park Dr
Richmond, KY 40475-3487

Phone

(859) 913-1315

NPI assigned

Apr 17, 2020

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

Medicare fee-for-service enrollment

Enrolled in KY

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

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 and National Provider Directory roles.

• Kentucky Counseling Center, LLC

  • Counselor
  • Louisville, KY
  • NPI 1932590338
  Medicare reassignment NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1962022178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SAM CHRISTOPHER CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753048",
            "telephone_number": "606-273-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753487",
            "telephone_number": "859-913-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12885 Frogtown Connector Rd",
            "address_purpose": "LOCATION",
            "city": "Walton",
            "state": "KY",
            "postal_code": "410948391",
            "country_code": "US",
            "telephone_number": "859-913-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "242479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Williams
• Rachael Willoughby, PHARMD
• Adaira Rianne Wilson
• Aleshia Joy Wilson
• Brittany Alexis Wilson, MA, LPCC-S, NCC
• Kaylee Jo Wilson, M.A. CF SLP
• Leah Wilson
• Steffen Pope Wilson, PH.D., BCBA, LBA
• James Matthew Witt
• Shantila Nicole Wolford

• Mental Health Counselor in Richmond, KY
• Providers in Richmond, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.