Active NPI
Malinda Gayle Wilson, LPC
- Professional Counselor
- Lewisville, TX
National Provider Identifier
1972158111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78815
- Practice address
- 2016 Justin Rd Ste 350
Lewisville, TX 75077-7180 - Phone
- (972) 317-4673
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78815 | TX | Primary |
Addresses
Primary practice location
2016 Justin Rd Ste 350
Lewisville, TX 75077-7180
Mailing address
1665 Crosshaven Dr
Lewisville, TX 75077-2422
Phone (214) 794-5111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78815 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Strategies Counseling, LLC | Professional | Past | 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.
-
- Professional Counselor
- Lewisville, TX
- NPI 1720226780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1972158111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 CROSSHAVEN DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772422",
"telephone_number": "214-794-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 JUSTIN RD STE 350",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750777180",
"telephone_number": "972-317-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MALINDA",
"middle_name": "GAYLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.