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MR. DOUGLAS ALAN WILSON MA, LPC
NPI 1174833750
Counselor - Professional in Spring Lake, MI

Active since October 15, 2010PECOS EnrolledAccepts Medicare Assignment
17224 VAN WAGONER RD, SPRING LAKE, MI 49456(231) 799-8182(616) 296-2148 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Douglas Alan Wilson Ma, Lpc NPPES

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

MR. DOUGLAS ALAN WILSON MA, LPC (NPI 1174833750) is an individual professional provider in Spring Lake, Michigan, licensed in Michigan (6401012170) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174833750
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DOUGLAS ALAN WILSONCredential: MA, LPC
Location Address17224 VAN WAGONER RDSpring Lake, MI 49456-9702
Mailing Address17224 Van Wagoner RdSpring Lake, MI 49456-9702 · (231) 799-8182 · Fax (616) 296-2148
Phone(231) 799-8182
Fax(616) 296-2148
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 15, 2010
Last NPPES UpdateDecember 3, 2015
✔ NPI 1174833750 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 MI · 6401012170
17224 VAN WAGONER RD, Spring Lake, MI 49456
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mr. Douglas Alan Wilson Ma, 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 ID6406299015
PECOS Enrollment IDI20240212001062
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.

Other Providers at the Same Location NPPES 20

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

RACHEL MCCLENAHAN LMSW
Social Worker (Clinical)
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
ALEXIS NELSON
Social Worker (Clinical)
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
MR. MARK E OLSEN
Counselor (Mental Health)
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
KRISTINE A KOETJE MA LPC LLP
Counselor
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
KYLE JOHN-ARTHUR PARCHER
Counselor (Mental Health)
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
LEEANNA APRIL PETER LPC
Counselor (Mental Health)
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
KRISTINE KOETJE MA, PC
Psychologist
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130
CATHERINE E WADDILOVE LCSW
Social Worker (Clinical)
17224 VAN WAGONER RD
SPRING LAKE, MI 49456
Ottawa County (616) 296-2130

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 Douglas Wilson's NPI number?

The NPI number for Douglas Wilson is 1174833750. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Douglas Wilson located?

Douglas Wilson practices at 17224 Van Wagoner Rd, Spring Lake, MI 49456. The listed phone number is (231) 799-8182.

What is Douglas Wilson's specialty?

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

Is Douglas Wilson enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Douglas 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 Douglas Wilson was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.