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KELLY WILSON
NPI 1306612254
Counselor - Mental Health in Dubuque, IA

Active since December 01, 2023PECOS Enrolled
210 JONES ST STE 108, DUBUQUE, IA 52001(563) 265-8694 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Wilson NPPES

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

KELLY WILSON (NPI 1306612254) is an individual mental health provider in Dubuque, Iowa, licensed in Iowa (123862) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306612254
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY WILSON
Location Address210 JONES ST STE 108Dubuque, IA 52001-7615
Mailing Address820 Laurel StDubuque, IA 52003-7947 · (563) 663-7445
Phone(563) 265-8694
Sole ProprietorYes
Enumeration DateDecember 1, 2023
Last NPPES UpdateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1306612254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 123862
210 JONES ST STE 108, Dubuque, IA 52001
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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 (PECOS)

Kelly Wilson 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.

Other Providers at the Same Location NPPES 4

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

LETA JAQUIS MSW
Social Worker
210 JONES ST STE 108
DUBUQUE, IA 52001
Dubuque County (319) 774-2045
TERESA ANN WHITE LMSW
Social Worker (Clinical)
210 JONES ST STE 108
DUBUQUE, IA 52001
Dubuque County (815) 291-1841
MORGAN HEIDENREICH
Social Worker (Clinical)
210 JONES ST STE 108
DUBUQUE, IA 52001
Dubuque County (563) 265-8694
DACODA TENTIS
Social Worker (Clinical)
210 JONES ST STE 108
DUBUQUE, IA 52001
Dubuque County (563) 581-9353

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1306612254. It was assigned to this individual provider in the NPPES registry on December 1, 2023.

Where is Kelly Wilson located?

Kelly Wilson practices at 210 Jones St Ste 108, Dubuque, IA 52001. The listed phone number is (563) 265-8694.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.