LISA ELAINE WILSON
NPI 1164295242
Peer Specialist in Tahlequah, OK

Active since November 01, 2023
1011 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(918) 840-7047 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Elaine Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ELAINE WILSON (NPI 1164295242) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1164295242
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLISA ELAINE WILSON
Location Address1011 S MUSKOGEE AVETahlequah, OK 74464-4733
Mailing Address1011 S Muskogee AveTahlequah, OK 74464-4733 · (918) 840-7047
Sole ProprietorYes
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
NPI 1164295242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1011 S MUSKOGEE AVE, Tahlequah, OK 74464

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.

Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1164295242. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Lisa Wilson located?

Lisa Wilson practices at 1011 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (918) 840-7047.

What is Lisa Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lisa Wilson was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.