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KELLY ANNE WILSON
NPI 1457869810
Counselor in Bethel, AK

Active since January 18, 2018
5016 NOEL POLTY BLVD., BETHEL, AK 99559(907) 543-6800(907) 543-7101 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Anne Wilson NPPES

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

KELLY ANNE WILSON (NPI 1457869810) is an individual counselor in Bethel, Alaska and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1457869810
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY ANNE WILSON
Location Address5016 NOEL POLTY BLVD.Bethel, AK 99559
Mailing AddressP.o. Box 1029, Attn: Bh Mccann Treatment CenterBethel, AK 99559 · (907) 543-6800 · Fax (907) 543-7101
Phone(907) 543-6800
Fax(907) 543-7101
Sole ProprietorNo
Enumeration DateJanuary 18, 2018
✔ NPI 1457869810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5016 NOEL POLTY BLVD., Bethel, AK 99559
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Other Identifiers 3

Medicaid1584987AK
Medicaid1020986AK
Medicaid1006017AK

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.

MRS. MARY ELIZABETH MCDONALD LPC
Counselor (Professional)
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
ROBERT JACOBS-MCDONALD
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
JOHNATHAN MICHAEL FRIEND
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
WILLIAM MCCARR JR.
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
VANESSA MARIE EPCHOOK
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
TABITHA JENNIFER KAGANAK
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
BRADON BRINK
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800
JOHN L EVAN II
Counselor
5016 NOEL POLTY BLVD.
BETHEL, AK 99559
Bethel (907) 543-6800

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1457869810. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Kelly Wilson located?

Kelly Wilson practices at 5016 Noel Polty Blvd., Bethel, AK 99559. The listed phone number is (907) 543-6800.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.