{"npi":"1447770086","type":"NPI-1","status":"active","name":{"display":"Mr. Charles Wilson Ms","other":[],"first":"CHARLES","last":"WILSON","middle":"LYNN","credential":"MS"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"OK","license":"10690"}]},"addresses":[{"purpose":"LOCATION","street_1":"1402 N FLORENCE AVE STE B","city":"CLAREMORE","state":"OK","postal_code":"740173159","country_code":"US","phone":"9186080380","fax":"2094255727"},{"purpose":"MAILING","street_1":"1402 N FLORENCE AVE STE B","city":"CLAREMORE","state":"OK","postal_code":"740173159","country_code":"US","phone":"1860803809","fax":"2094255727"}],"license":{"state":"OK","number":"10690"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231128002779","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"OK","pac_id":"4284082439"}]},"enumeration_date":"2017-06-25","last_updated":"2022-04-12","_meta":{"source":"NPPES","snapshot_date":"2022-04-12","doc_url":"https://findmynpi.com/api"}}