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MICHAEL N WILSON
NPI 1003143967
Counselor - Mental Health in Chicago, IL

Active since November 12, 2009PECOS Enrolled
1340 S DAMEN AVE, CHICAGO, IL 60608(312) 738-5926(312) 666-6978 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael N Wilson NPPES

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

MICHAEL N WILSON (NPI 1003143967) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.006114) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003143967
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL N WILSON
Location Address1340 S DAMEN AVEChicago, IL 60608-1169
Mailing Address1340 S Damen AveChicago, IL 60608-1169 · (312) 738-5926 · Fax (312) 666-6978
Phone(312) 738-5926
Fax(312) 666-6978
Sole ProprietorNo
Enumeration DateNovember 12, 2009
✔ NPI 1003143967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.006114
1340 S DAMEN AVE, Chicago, IL 60608
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael N Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Family And Community Resources PC
20 mi
Community/Behavioral Health
3330 W 177TH ST, SUITE 1-F
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1770818064 (708) 745-3040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. ERNESTINE HAMBRICK M.D.
Colon & Rectal Surgery
1340 S DAMEN AVE, SUITE 200
CHICAGO, IL 60608
Cook County (312) 997-7200
BRENDA GOMEZ HERRERA LCSW
Social Worker (Clinical)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (312) 762-2719
MAYA OYARBIDE-SANCHEZ MA, LCPC
Counselor (Professional)
1340 S DAMEN AVE, MEZZANINE SUITE C
CHICAGO, IL 60608
Cook County (312) 762-2745
CARLY MANSHUM LSW
Social Worker
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (773) 680-2275
THELMA MICHELLE HOLT-NICHOLSON FNP-BC
Nurse Practitioner (Family)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (877) 663-1333
SUZANNE ISENBERG
Social Worker (Clinical)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (312) 949-4340
SHERIDAN KEETER NP
Nurse Practitioner
1340 S DAMEN AVE, STE 210
CHICAGO, IL 60608
Cook County (773) 292-4800
APRIL LOWERY FNP
Nurse Practitioner (Family)
1340 S DAMEN AVE, SUITE 210
CHICAGO, IL 60608
Cook County (773) 292-4800

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1003143967. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is Michael Wilson located?

Michael Wilson practices at 1340 S Damen Ave, Chicago, IL 60608. The listed phone number is (312) 738-5926.

What is Michael Wilson's specialty?

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

Is Michael Wilson enrolled in Medicare?

Yes. Michael Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wilson reassigns Medicare benefits to Midwest Family And Community Resources PC (Hazel Crest, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wilson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael 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 Michael Wilson was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.