1. Home
  2. Directory
  3. Massachusetts
  4. Springfield
  5. Counselor
  6. NPI Profile

MR. KENNETH JEROME WILSON II
NPI 1336506641
Counselor in Springfield, MA

Active since January 19, 2016
5 LAVENDER LN, SPRINGFIELD, MA 01129(413) 315-7689 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenneth Jerome Wilson Ii NPPES

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

MR. KENNETH JEROME WILSON II (NPI 1336506641) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1336506641
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KENNETH JEROME WILSON II
Location Address5 LAVENDER LNSpringfield, MA 01129-1708
Mailing Address5 Lavender LnSpringfield, MA 01129-1708 · (413) 315-7689
Phone(413) 315-7689
Sole ProprietorYes
Enumeration DateJanuary 19, 2016
✔ NPI 1336506641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5 LAVENDER LN, Springfield, MA 01129
Open in Google Maps ↗

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 Kenneth Wilson's NPI number?

The NPI number for Kenneth Wilson is 1336506641. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Kenneth Wilson located?

Kenneth Wilson practices at 5 Lavender Ln, Springfield, MA 01129. The listed phone number is (413) 315-7689.

What is Kenneth Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Wilson was last updated on January 19, 2016. 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.