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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TODDIE JAMES WILSON I
NPI 1104720655
Counselor - Addiction (Substance Use Disorder) in Deer River, MN

Active since October 07, 2026
50450 WATERS EDGE DR, DEER RIVER, MN 56636(218) 368-1779(218) 335-7294 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Toddie James Wilson I NPPES

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

TODDIE JAMES WILSON I (NPI 1104720655) is an individual addiction (substance use disorder) provider in Deer River, Minnesota, licensed in Minnesota (12-0258-MA) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104720655
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTODDIE JAMES WILSON I
Location Address50450 WATERS EDGE DRDeer River, MN 56636-2889
Mailing Address50450 Waters Edge DrDeer River, MN 56636-2889 · (218) 368-1779 · Fax (218) 335-7294
Phone(218) 368-1779
Fax(218) 335-7294
Sole ProprietorYes
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1104720655 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 MN · 12-0258-MA
50450 WATERS EDGE DR, Deer River, MN 56636
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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 Toddie Wilson's NPI number?

The NPI number for Toddie Wilson is 1104720655. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Toddie Wilson located?

Toddie Wilson practices at 50450 Waters Edge Dr, Deer River, MN 56636. The listed phone number is (218) 368-1779.

What is Toddie 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 Toddie Wilson was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.