LESLIE PATRICE GRAHAM WILSON LPC
NPI 1174195903
Counselor - Professional in Jersey City, NJ

Q: What is Leslie Graham Wilson's NPI number?

The NPI number for Leslie Graham Wilson is 1174195903. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Q: What is Leslie Graham Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment

12 AUDUBON AVE APT 205, JERSEY CITY, NJ 07305(551) 697-0515(201) 975-5726 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leslie Patrice Graham Wilson Lpc NPPES

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

LESLIE PATRICE GRAHAM WILSON LPC (NPI 1174195903) is an individual professional provider in Jersey City, New Jersey, licensed in New Jersey (37PC00495300) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1174195903

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLESLIE PATRICE GRAHAM WILSONCredential: LPC

Location Address12 AUDUBON AVE APT 205Jersey City, NJ 07305-2222

Mailing Address12 Audubon Ave Apt 205Jersey City, NJ 07305-2222 · (551) 697-0515 · Fax (201) 975-5726

Phone(551) 697-0515

Fax(201) 975-5726

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJuly 12, 2021

NPPES CertifiedJuly 12, 2021

✔ NPI 1174195903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NJ · 37PC00495300

12 AUDUBON AVE APT 205, Jersey City, NJ 07305

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leslie Patrice Graham Wilson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375041510

PECOS Enrollment IDI20250807003294

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Leslie Graham Wilson's NPI number?

The NPI number for Leslie Graham Wilson is 1174195903. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Leslie Graham Wilson located?

Leslie Graham Wilson practices at 12 Audubon Ave Apt 205, Jersey City, NJ 07305. The listed phone number is (551) 697-0515.

What is Leslie Graham Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Leslie Graham Wilson enrolled in Medicare?

Yes. Leslie Graham Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leslie Graham Wilson was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.