Active NPI
Lernard Wilson, MA, LMHC, NCC, CSMS
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1992959894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7412
- Practice address
- 2210 S Rio Grande Ave
Orlando, FL 32805-5262 - Phone
- (321) 206-6300
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7412 | FL | Primary |
Addresses
Primary practice location
2210 S Rio Grande Ave
Orlando, FL 32805-5262
Mailing address
6820 Nawadaha Blvd
Orlando, FL 32818-5365
Phone (321) 206-6300
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7412 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Covenant Counseling and Guidance Center, Inc. | Mental Health | 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.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1124388202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1992959894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 NAWADAHA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328185365",
"telephone_number": "321-206-6300",
"fax_number": "407-290-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 S RIO GRANDE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328055262",
"telephone_number": "321-206-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LERNARD",
"name_prefix": "Mr.",
"credential": "MA, LMHC, NCC, CSMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.