THOMAS WILSON PSYCHOTHERAPY, LLC
NPI 1003402892
Social Worker - Clinical in Orlando, FL

Q: What is Thomas Wilson Psychotherapy, LLC's NPI number?

The NPI number for Thomas Wilson Psychotherapy, LLC is 1003402892. It was assigned to this organization in the NPPES registry on December 15, 2020.

Q: What is Thomas Wilson Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since December 15, 2020

4700 MILLENIA BLVD STE 500, ORLANDO, FL 32839(970) 930-1264(970) 431-2327 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, May 20, 2021, May 7, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Thomas Wilson Psychotherapy, Llc NPPES

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

THOMAS WILSON PSYCHOTHERAPY, LLC (NPI 1003402892) is a healthcare organization registered as a clinical in Orlando, Florida and active in the NPI registry since December 2020. The organization lists Thomas Warren Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003402892

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameTHOMAS WILSON PSYCHOTHERAPY, LLC

Location Address4700 MILLENIA BLVD STE 500Orlando, FL 32839-6019

Mailing Address4700 Millenia Blvd Ste 500Orlando, FL 32839-6019 · (970) 930-1264 · Fax (970) 431-2327

Phone(970) 930-1264

Fax(970) 431-2327

Organization SubpartNo

Authorized OfficialThomas Warren WilsonOwner · (970) 930-1264

Enumeration DateDecember 15, 2020

Last NPPES UpdateAugust 11, 20235 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1003402892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4700 MILLENIA BLVD STE 500, Orlando, FL 32839

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Wilson Psychotherapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thomas Wilson Psychotherapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Wilson, LCSW

Clinical Social Worker

NPI 1992218374

4700 MILLENIA BLVD STE 500
Orlando, FL 32839

(970) 930-1264

✔ PECOS✔ Accepts MedicareSame address

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

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 Thomas Wilson Psychotherapy, LLC's NPI number?

The NPI number for Thomas Wilson Psychotherapy, LLC is 1003402892. It was assigned to this organization in the NPPES registry on December 15, 2020.

Where is Thomas Wilson Psychotherapy, LLC located?

Thomas Wilson Psychotherapy, LLC is located at 4700 Millenia Blvd Ste 500, Orlando, FL 32839. The listed phone number is (970) 930-1264.

What is Thomas Wilson Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Thomas Wilson Psychotherapy, LLC enrolled in Medicare?

Yes. Thomas Wilson Psychotherapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas Wilson Psychotherapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Thomas Wilson Psychotherapy, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Wilson Psychotherapy, LLC was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.