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MR. DAVID CHARLES WILSON LPC
NPI 1184040800
Counselor - Professional in Madison, MS

Active since March 06, 2014PECOS Enrolled
116 DUMAINE PL, MADISON, MS 39110(662) 378-7888(601) 853-2990 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. David Charles Wilson Lpc NPPES

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

MR. DAVID CHARLES WILSON LPC (NPI 1184040800) is an individual professional provider in Madison, Mississippi, licensed in Mississippi (0256) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184040800
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DAVID CHARLES WILSONCredential: LPC
Location Address116 DUMAINE PLMadison, MS 39110-9234
Mailing Address116 Dumaine PlMadison, MS 39110-9234 · (662) 378-7888 · Fax (601) 853-2990
Phone(662) 378-7888
Fax(601) 853-2990
Sole ProprietorYes
Enumeration DateMarch 6, 2014
✔ NPI 1184040800 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 MS · 0256
116 DUMAINE PL, Madison, MS 39110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Charles 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 David Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Behaviorals Services, Inc.
3.6 mi
Clinical
357 TOWNE CENTER BLVD, SUITE # 100
Ridgeland, MS 39157
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
NPI 1578578092 (601) 952-0894

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 David Wilson's NPI number?

The NPI number for David Wilson is 1184040800. It was assigned to this individual provider in the NPPES registry on March 6, 2014.

Where is David Wilson located?

David Wilson practices at 116 Dumaine Pl, Madison, MS 39110. The listed phone number is (662) 378-7888.

What is David Wilson's specialty?

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

Is David Wilson enrolled in Medicare?

Yes. David Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wilson reassigns Medicare benefits to Innovative Behaviorals Services, Inc. (Ridgeland, MS). 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 David Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Wilson accept?

Health plans from Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list David 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 David Wilson was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.