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WILSON STANDARD WELLNESS
NPI 1104776376
Counselor - Professional in Edwardsville, IL

Active since January 29, 2026
100 N MAIN ST STE 12, EDWARDSVILLE, IL 62025(618) 513-9744 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Standard Wellness NPPES

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

WILSON STANDARD WELLNESS (NPI 1104776376) is a healthcare organization registered as a professional in Edwardsville, Illinois and active in the NPI registry since January 2026. The organization lists Kaitlyn Wilson, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1104776376
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWILSON STANDARD WELLNESS
Location Address100 N MAIN ST STE 12Edwardsville, IL 62025-1981
Mailing Address100 N Main St Ste 12Edwardsville, IL 62025-1981
Phone(618) 513-9744
Organization SubpartNo
Authorized OfficialKaitlyn WilsonOwner/therapist · (618) 513-9744
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1104776376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
100 N MAIN ST STE 12, Edwardsville, IL 62025
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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

Other Providers at the Same Location NPPES

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

KAITLYN WILSON
Counselor (Professional)
100 N MAIN ST STE 12
EDWARDSVILLE, IL 62025
Madison County (618) 513-9744

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 Wilson Standard Wellness's NPI number?

The NPI number for Wilson Standard Wellness is 1104776376. It was assigned to this organization in the NPPES registry on January 29, 2026.

Where is Wilson Standard Wellness located?

Wilson Standard Wellness is located at 100 N Main St Ste 12, Edwardsville, IL 62025. The listed phone number is (618) 513-9744.

What is Wilson Standard Wellness'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 Wilson Standard Wellness was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.