COURTNEY S WILSON LPC
NPI 1053062695
Counselor - Professional in Chicago, IL
Active since January 14, 2022
1438 W BELMONT AVE STE 1, CHICAGO, IL 60657(312) 508-3645(312) 971-8554 Get Directions Write a Review
About Courtney S Wilson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY S WILSON LPC (NPI 1053062695) is an individual professional provider in Chicago, Illinois, licensed in Illinois (17801796) and active in the NPI registry since January 2022. She maintains a secondary practice location in Wilmette.
NPPES Registry Identity
NPI1053062695
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY S WILSONCredential: LPC
Location Address1438 W BELMONT AVE STE 1Chicago, IL 60657-2166
Mailing Address1438 W Belmont Ave Ste 1Chicago, IL 60657-2166 · (312) 508-3645 · Fax (312) 971-8554
Phone(312) 508-3645
Fax(312) 971-8554
Sole ProprietorNo
Enumeration DateJanuary 14, 2022
Last NPPES UpdateMay 16, 20233 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1053062695 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 17801796
1438 W BELMONT AVE STE 1, Chicago, IL 60657
Secondary Practice Location 1
Location 13330 Old Glenview Rd Ste 14Wilmette, IL 60091-2963 · Phone (847) 610-6763 · Fax (312) 971-8554
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Cognitive & Behavioral)
1438 W BELMONT AVE STE 1
CHICAGO, IL 60657
CHICAGO, IL 60657
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053062695, enumerated as an "individual" on January 14, 2022.
The provider is located at 1438 W BELMONT AVE STE 1 CHICAGO, IL 60657 and the phone number is (312) 508-3645.
Counselor with taxonomy code 101YP2500X and a focus in Professional.