WESLEY MARK WILSON LPC
NPI 1124835509
Counselor - Mental Health in Hayward, WI
About Wesley Mark Wilson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESLEY MARK WILSON LPC (NPI 1124835509) is an individual mental health provider in Hayward, Wisconsin, licensed in Wisconsin (12840-125) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wesley Mark Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wesley Wilson's NPI number?
The NPI number for Wesley Wilson is 1124835509. It was assigned to this individual provider in the NPPES registry on December 18, 2024.
Where is Wesley Wilson located?
Wesley Wilson practices at 10752 Beal Ave, Hayward, WI 54843. The listed phone number is (715) 533-0736.
What is Wesley Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Wesley Wilson enrolled in Medicare?
Yes. Wesley Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Wesley Wilson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.
# Wesley Mark Wilson, LPC · NPI 1124835509
Mental Health provider in Hayward, Wisconsin. Individual provider, active in the CMS NPPES registry since December 18, 2024.
## Identity
- **NPI:** 1124835509 (Entity type: Individual)
- **Enumerated:** December 18, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12840-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10752 BEAL AVE, Hayward, WI 54843-6435
- **Phone:** (715) 533-0736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** September 14, 2026
- **Other identifiers:** Medicaid 100305836 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1124835509) · Data from the CMS NPPES public registry.