LARISSA WILSON
NPI 1639777410
Counselor - Mental Health in Oklahoma City, OK

Q: What is Larissa Wilson's NPI number?

The NPI number for Larissa Wilson is 1639777410. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Larissa Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Wilson was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 13, 2020

9112 ROLLING GREEN AVE, OKLAHOMA CITY, OK 73132(405) 249-6436 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larissa Wilson NPPES

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

LARISSA WILSON (NPI 1639777410) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1639777410

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLARISSA WILSON

Location Address9112 ROLLING GREEN AVEOklahoma City, OK 73132-2055

Mailing Address9112 Rolling Green AveOklahoma City, OK 73132-2055

Phone(405) 249-6436

Sole ProprietorYes

Enumeration DateOctober 13, 2020

NPPES CertifiedOctober 13, 2020

✔ NPI 1639777410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

9112 ROLLING GREEN AVE, Oklahoma City, OK 73132

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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 Larissa Wilson's NPI number?

The NPI number for Larissa Wilson is 1639777410. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Larissa Wilson located?

Larissa Wilson practices at 9112 Rolling Green Ave, Oklahoma City, OK 73132. The listed phone number is (405) 249-6436.

What is Larissa Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Larissa Wilson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Larissa Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larissa Wilson was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.