MADISON WILSON
NPI 1356119184
Counselor - Mental Health in Tyler, TX

Q: What is Madison Wilson's NPI number?

The NPI number for Madison Wilson is 1356119184. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Q: What is Madison Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madison Wilson was last updated on December 12, 2023. 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.

Active since December 12, 2023

16911 OLD BULLARD ROAD, TYLER, TX 75703(903) 871-3450 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Madison Wilson NPPES

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

MADISON WILSON (NPI 1356119184) is an individual mental health provider in Tyler, Texas, licensed in Texas (92816) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1356119184

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMADISON WILSON

Location Address16911 OLD BULLARD ROADTyler, TX 75703

Mailing Address5872 Old Jacksonville Hwy Apt 311Tyler, TX 75703-0605

Phone(903) 871-3450

Sole ProprietorNo

Enumeration DateDecember 12, 2023

NPPES CertifiedDecember 8, 2023

✔ NPI 1356119184 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 TX · 92816

16911 OLD BULLARD ROAD, Tyler, TX 75703

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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 Madison Wilson's NPI number?

The NPI number for Madison Wilson is 1356119184. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Madison Wilson located?

Madison Wilson practices at 16911 Old Bullard Road, Tyler, TX 75703. The listed phone number is (903) 871-3450.

What is Madison Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Wilson was last updated on December 12, 2023. 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.