MRS. TANITH JO WILSON CADC NPI 1598442519

NPI Information

  • NPI: 1598442519
  • Provider Name: MRS. TANITH JO WILSON, CADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 365 WALLER AVE STE 230
    LEXINGTON, KY
    ZIP 40504
  • Phone: (859) 319-2610

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NPI Details

MRS. Tanith Jo Wilson, CADC is an addiction (substance use disorder) counselor in Lexington, KY. MRS. Tanith Jo Wilson, CADC NPI is 1598442519. 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:

365 WALLER AVE STE 230
LEXINGTON, KY
ZIP 40504-924
Phone: (859) 319-2610
Fax: (859) 209-2964

The enumeration date for this NPI number is 6/30/2023 and was last updated on 6/30/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)267258KENTUCKYYes

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: 11/21/2025

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