Beverly K Wilson , RNC, FT, MA, LPC
Counselor - Professional • Jackson, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Beverly Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Beverly Wilson, RNC, FT, MA, LPC was a registered Counselor - Professional practicing in Jackson, MI. Throughout an active medical career spanning 14 years, Beverly Wilson provided care at the practice location at 1214 COOPER ST until profile deactivation on 2022-03-30.
Practice Location & Contact Primary Location
1214 Cooper St
Suite #201
Jackson, MI 492022496
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Jackson, MI
Practicing in Jackson, MI (5077 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Master Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 30, 2022
NPI status registered as active in NPPES database
Registered at 3425 FRANCIS ST, JACKSON, MI 492035052 (Tel: 5177827551)
Registered at 3425 FRANCIS ST, JACKSON, MI 492035052 (Tel: 5177822551)
Recorded as BEVERLY WILSON, RN, FT, LPC
Counselor (License #6401009068 in MI)
NPI status registered as active in NPPES database
Registered at 1214 COOPER ST, SUITE #201, JACKSON, MI 492022496 (Tel: 5177897227)
Registered at PO BOX 576, JACKSON, MI 492040576 (Tel: 5177897227)
Recorded as BEVERLY WILSON, RNC, FT, MA, LPC
Counselor (License #6401009068 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 576
Jackson, MI 492040576
Phone: 5177897227
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