Jana Wilson, B.S. MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

272387 Issued in KY

Practice address

560 Oakland Cir
Paducah, KY 42003-8924

Phone

(127) 081-6267

NPI assigned

Jan 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  KY

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  KY

  Medicare reassignment NPD
• J.F. Wilson Wellness Center, LLC.

  • Adult Mental Health Clinic/Center
  • Paducah, KY
  • NPI 1457097560
  NPD Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1972926673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420020701",
            "telephone_number": "270-816-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OAKLAND CIR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038924",
            "telephone_number": "127-081-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "629601810",
            "country_code": "US",
            "telephone_number": "618-524-9368",
            "fax_number": "618-524-9551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420010713",
            "country_code": "US",
            "telephone_number": "270-442-7121",
            "fax_number": "270-444-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JANA",
        "credential": "B.S.  MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "168587",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "272387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR ASSOCIATE",
            "identifier": "168587",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilson Medical Staffing PLLC
• Angela Kay Wilson, PTA
• Ashley Lyn Wilson
• Ashley MB Wilson, LP
• Christy L Wilson, APRN
• Kalmece Tehran Wilson
• Lauradell Hogancamp Wilson, D.C.
• Melissa Wilson, APRN
• Michelle Ross Wilson, APRN
• Richard Scott Wilson, M.D.

• Mental Health Counselor in Paducah, KY
• Providers in Paducah, 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 Sep 3, 2021; 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.