MS. SHEILAH M. WILSON LPC LISAC NCC NPI 1225193790

NPI Information

NPI: 1225193790
Provider Name: MS. SHEILAH M. WILSON, LPC, LISAC, NCC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
617 N HUMPHREYS ST
SUITE 101
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-3783
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MS. Sheilah M. Wilson, LPC, LISAC, NCC is a counselor in Flagstaff, AZ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Sheilah M. Wilson, LPC, LISAC, NCC NPI is 1225193790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

617 N HUMPHREYS ST
SUITE 101
FLAGSTAFF, AZ
ZIP 86001-063
Phone: (928) 779-3783
Fax: (928) 773-1150

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		NCC-75942	ARIZONA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-10648	ARIZONA	X
3	101YM0800X	Counselor	Mental Health	LPC-10984	ARIZONA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	864638	MEDICAID	ARIZONA
2	7046676	OTHER	ARIZONA	AETNA
3	569518	OTHER	ARIZONA	VALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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