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DEREK WILSON
NPI 1093143950
Counselor - Mental Health in Charlotte, NC

Active since October 30, 2013
204 S IRWIN AVE, CHARLOTTE, NC 28202(704) 651-8097 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek Wilson NPPES

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

DEREK WILSON (NPI 1093143950) is an individual mental health provider in Charlotte, North Carolina and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1093143950
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDEREK WILSON
Location Address204 S IRWIN AVECharlotte, NC 28202-1117
Mailing Address204 S Irwin AveCharlotte, NC 28202-1117 · (704) 651-8097
Phone(704) 651-8097
Sole ProprietorNo
Enumeration DateOctober 30, 2013
✔ NPI 1093143950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
204 S IRWIN AVE, Charlotte, NC 28202
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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 Derek Wilson's NPI number?

The NPI number for Derek Wilson is 1093143950. It was assigned to this individual provider in the NPPES registry on October 30, 2013.

Where is Derek Wilson located?

Derek Wilson practices at 204 S Irwin Ave, Charlotte, NC 28202. The listed phone number is (704) 651-8097.

What is Derek Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Derek Wilson was last updated on October 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.