MATTHEW WILSON
NPI 1356614150
Counselor - Mental Health in Palm Bay, FL
About Matthew Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW WILSON (NPI 1356614150) is an individual mental health provider in Palm Bay, Florida and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Matthew Wilson 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALM BAY, FL 32907
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 Matthew Wilson's NPI number?
The NPI number for Matthew Wilson is 1356614150. It was assigned to this individual provider in the NPPES registry on February 10, 2012.
Where is Matthew Wilson located?
Matthew Wilson practices at 4195 Hield Rd NW, Palm Bay, FL 32907. The listed phone number is (407) 361-5788.
What is Matthew Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Matthew Wilson enrolled in Medicare?
Yes. Matthew 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.
When was this NPI record last updated?
The NPPES record for Matthew Wilson was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Matthew Wilson · NPI 1356614150
Mental Health provider in Palm Bay, Florida. Individual provider, active in the CMS NPPES registry since February 10, 2012.
## Identity
- **NPI:** 1356614150 (Entity type: Individual)
- **Enumerated:** February 10, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 4195 HIELD RD NW, Palm Bay, FL 32907-6310
- **Phone:** (407) 361-5788
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356614150) · Data from the CMS NPPES public registry.