Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katara Nicole Wilson, LPC

Individual provider Professional Counselor · NPI 1699550210

Katara Nicole Wilson, LPC is a Mental Health Counselor in Columbus, Georgia. Qualified in 2019, 7 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1200 Brookstone Centre Pkwy Ste 226
Columbus, GA 31904-2988
Phone: (706) 653-2889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1661 13th St Ste 102, Columbus, GA 31901-3844 — (706) 573-3998

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC015587 (GA)

Record details

NPI number1699550210
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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