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

Active since July 12, 2021PECOS Enrolled
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: October 18, 2026.

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.

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
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Patrice Graham Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Leslie Graham Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group Of New Jersey PC
3.7 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Leslie Graham Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Graham Wilson reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie Graham Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie Graham Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Leslie Graham Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.