KATARA NICOLE WILSON LPC
NPI 1699550210
Counselor - Professional in Columbus, GA

Active since August 30, 2023PECOS EnrolledAccepts Medicare Assignment
1200 BROOKSTONE CENTRE PKWY STE 226, COLUMBUS, GA 31904(706) 653-2889 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Aug 30, 2023 (2 updates tracked since 2023).

About Katara Nicole Wilson Lpc NPPES

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

KATARA NICOLE WILSON LPC (NPI 1699550210) is an individual professional provider in Columbus, Georgia, licensed in Georgia (LPC015587) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699550210
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATARA NICOLE WILSONCredential: LPC
Location Address1200 BROOKSTONE CENTRE PKWY STE 226Columbus, GA 31904-2988
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (706) 653-2889
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2023
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1699550210 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 GA · LPC015587
1200 BROOKSTONE CENTRE PKWY STE 226, Columbus, GA 31904

Secondary Practice Location 1

Location 11661 13th St Ste 102Columbus, GA 31901-3844 · Phone (706) 573-3998

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katara Nicole Wilson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193234995
PECOS Enrollment IDI20250603002633
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Counselor (Professional)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Social Worker (Clinical)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Counselor (Professional)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Social Worker (Clinical)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Counselor (Professional)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Nurse Practitioner (Psychiatric/Mental Health)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904
Social Worker (Clinical)
1200 BROOKSTONE CENTRE PKWY STE 226
COLUMBUS, GA 31904

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 Katara Wilson's NPI number?

The NPI number for Katara Wilson is 1699550210. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Katara Wilson located?

Katara Wilson practices at 1200 Brookstone Centre Pkwy Ste 226, Columbus, GA 31904. The listed phone number is (706) 653-2889.

What is Katara Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katara Wilson enrolled in Medicare?

Yes. Katara Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katara Wilson accept?

Health plans from UnitedHealthcare list Katara 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 Katara Wilson was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.