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MR. KEN WILSON
NPI 1104223999
Counselor - Addiction (Substance Use Disorder) in Augusta, GA

Active since November 24, 2014
2610 COMMONS BLVD, AUGUSTA, GA 30909(706) 733-1935(706) 667-8727 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ken Wilson NPPES

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

MR. KEN WILSON (NPI 1104223999) is an individual addiction (substance use disorder) provider in Augusta, Georgia, licensed in Georgia (564) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1104223999
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEN WILSON
Location Address2610 COMMONS BLVDAugusta, GA 30909-2080
Mailing Address2610 Commons BlvdAugusta, GA 30909-2080 · (706) 733-1935 · Fax (706) 667-8727
Phone(706) 733-1935
Fax(706) 667-8727
Sole ProprietorNo
Enumeration DateNovember 24, 2014
✔ NPI 1104223999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in GA · 564
2610 COMMONS BLVD, Augusta, GA 30909
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Other Providers at the Same Location NPPES 7

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

BLAKE BLASINGAME
Counselor (Mental Health)
2610 COMMONS BLVD
AUGUSTA, GA 30909
Richmond County (706) 733-1935
LA DETRIA KING LPC
Counselor
2610 COMMONS BLVD, SUITE B
AUGUSTA, GA 30909
Richmond County (706) 832-6679
MS. JESSICA WILSON WORSHAM LCSW
Social Worker (Clinical)
2610 COMMONS BLVD
AUGUSTA, GA 30909
Richmond County (706) 733-1935
STEPPINGSTONES TO RECOVERY
Community/Behavioral Health
2610 COMMONS BLVD
AUGUSTA, GA 30909
Richmond County (706) 733-1935
KEN WILSON
Case Management
2610 COMMONS BLVD
AUGUSTA, GA 30909
Richmond County (706) 667-2353
ASHLEY ELIZABETH BOWMAN LCSW, MPH
Social Worker (Clinical)
2610 COMMONS BLVD
AUGUSTA, GA 30909
Richmond County (706) 733-1935
MR. MARCEL PAYNE LCSW
Counselor (Addiction (Substance Use Disorder))
2610 COMMONS BLVD
AUGUSTA, GA 30909
Richmond County (706) 733-1935

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 Ken Wilson's NPI number?

The NPI number for Ken Wilson is 1104223999. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is Ken Wilson located?

Ken Wilson practices at 2610 Commons Blvd, Augusta, GA 30909. The listed phone number is (706) 733-1935.

What is Ken Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ken Wilson was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.