KRISTA WILSON MA NCC LPC NPI 1548883390

NPI Information

NPI: 1548883390
Provider Name: KRISTA WILSON, MA NCC LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
800 CUSTER AVE STE 5
EVANSTON, IL
ZIP 60202
Phone: (847) 425-1500
Get Directions

Krista Wilson, MA NCC LPC is a professional counselor in Evanston, IL. Krista Wilson, MA NCC LPC NPI is 1548883390. 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:

800 CUSTER AVE STE 5
EVANSTON, IL
ZIP 60202-273
Phone: (847) 425-1500
Fax: (847) 972-6277

The enumeration date for this NPI number is 5/27/2020 and was last updated on 8/17/2021.

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	LPCC.0017610	COLORADO	No
2	101YP2500X	Counselor	Professional	178.016784	ILLINOIS	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	178.016784	OTHER	ILLINOIS	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - LPC
2	LPCC.0017610	OTHER	COLORADO	DEPARTMENT OF REGULATORY AGENCIES
3	6510458	OTHER		AMERICAN COUNSELING ASSOCIATION

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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