MR. KEITH L WILSON MS LPC NPI 1982949988

NPI Information

NPI: 1982949988
Provider Name: MR. KEITH L WILSON, MS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1330 E CHERRY ST # 12
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 761-9598
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MR. Keith L Wilson, MS, LPC is a mental health counselor in Springfield, MO. MR. Keith L Wilson, MS, LPC NPI is 1982949988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 E CHERRY ST # 12
SPRINGFIELD, MO
ZIP 65802-429
Phone: (417) 761-9598

The enumeration date for this NPI number is 12/1/2012 and was last updated on 2/17/2015.

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	101YM0800X	Counselor	Mental Health	2012037415	MISSOURI	Yes

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	1801285440	MEDICAID	MISSOURI
2	1982949988	MEDICAID	MISSOURI

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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