DWILSON COUNSELING, PLLC
NPI 1053106633
Counselor - Professional in O Fallon, IL

Active since April 14, 2025
640 PIERCE BLVD STE 200, O FALLON, IL 62269(618) 406-2490 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dwilson Counseling, Pllc NPPES

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

DWILSON COUNSELING, PLLC (NPI 1053106633), doing business as Optimal Focus Counseling, is a healthcare organization registered as a professional in O Fallon, Illinois and active in the NPI registry since April 2025. The organization lists Dominique Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053106633
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameDWILSON COUNSELING, PLLC
Location Address640 PIERCE BLVD STE 200O Fallon, IL 62269-2584
Mailing Address2126 Village PkwySan Antonio, TX 78251-2611 · (317) 900-6556
Organization SubpartNo
Authorized OfficialDominique WilsonOwner · (618) 406-2490
Enumeration DateApril 14, 2025
NPPES CertifiedApril 13, 2025
NPI 1053106633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
640 PIERCE BLVD STE 200, O Fallon, IL 62269

Other Names 1

Doing Business AsOptimal Focus Counseling

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
640 PIERCE BLVD STE 200
O FALLON, IL 62269
Social Worker (Clinical)
640 PIERCE BLVD STE 200
O FALLON, IL 62269
Counselor (Mental Health)
640 PIERCE BLVD STE 200
O FALLON, IL 62269
Social Worker (Clinical)
640 PIERCE BLVD STE 200
O FALLON, IL 62269
Counselor (Professional)
640 PIERCE BLVD STE 200
O FALLON, IL 62269

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 Dwilson Counseling, PLLC's NPI number?

The NPI number for Dwilson Counseling, PLLC is 1053106633. It was assigned to this organization in the NPPES registry on April 14, 2025. The provider is doing business as Optimal Focus Counseling.

Where is Dwilson Counseling, PLLC located?

Dwilson Counseling, PLLC is located at 640 Pierce Blvd Ste 200, O Fallon, IL 62269. The listed phone number is (618) 406-2490.

What is Dwilson Counseling, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Dwilson Counseling, PLLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.