CALEB JOSEPH WILSON M.A., CCC-SLP
NPI 1366089989
Speech-Language Pathologist in Charlottesville, VA

Q: What is Caleb Wilson's NPI number?

The NPI number for Caleb Wilson is 1366089989. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Q: What is Caleb Wilson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Wilson was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 02, 2019Accepts Medicare Assignment

416 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901(434) 220-0021(434) 465-6843 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2023, Dec 2, 2019 (2 updates tracked since 2019).

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About Caleb Joseph Wilson M.a., Ccc-slp NPPES

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

CALEB JOSEPH WILSON M.A., CCC-SLP (NPI 1366089989) is an individual speech-language pathologist provider in Charlottesville, Virginia, licensed in Virginia (2202010379) and active in the NPI registry since December 2019. He maintains a secondary practice location in Fort Collins and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366089989

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameCALEB JOSEPH WILSONCredential: M.A., CCC-SLP

Location Address416 ALBEMARLE SQCharlottesville, VA 22901-7400

Mailing Address504 Albemarle SqCharlottesville, VA 22901-7405 · (434) 817-7848 · Fax (434) 465-6834

Phone(434) 220-0021

Fax(434) 465-6843

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 2, 2019

Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration

NPPES CertifiedAugust 25, 2023

✔ NPI 1366089989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in VA · 2202010379✔ Licensed in CO · 0003776

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

416 ALBEMARLE SQ, Charlottesville, VA 22901

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Secondary Practice Location 1

Location 12290 E Prospect Rd Ste 4Fort Collins, CO 80525-9768 · Phone (970) 305-4730

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb Joseph Wilson M.a., Ccc-slp 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.

PECOS PAC ID3375970429

PECOS Enrollment IDI20200302000620

Medicare Billing Reassignments

Medicare enrollment records show Caleb Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy At Acac

Same address

Physical Therapist

504 ALBEMARLE SQ
Charlottesville, VA 22901

Reassigned Medicare billing, Virginia enrollment
68 clinicians in this Medicare group

NPI 1205809506 (434) 817-7848

Northern Colorado Therapy Services, LLC

1,430 mi

Speech-Language Pathologist

712B WHALERS WAY, SUITE B200
Fort Collins, CO 80525

Reassigned Medicare billing, Colorado enrollment
9 clinicians in this Medicare group

NPI 1154708824 (970) 658-0688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130

This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.

326 services19 patients

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

252 services40 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

141 services31 patients

Therapy procedure for a range of mental processes, initial 15 minutes 97129

This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.

120 services19 patients

Test to assess the ability to complete specific functional tasks applicable to environment 96125

This is a test that measures your ability to perform certain tasks that are relevant to your daily life and environment. It evaluates how well you can manage activities like cooking, cleaning, or shopping. It doesn't involve any invasive procedures.

33 services16 patients

Evaluation of swallowing function 92610

Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.

25 services22 patients

Other Providers at the Same Location NPPES 9

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

JANE SHAW MD

Family Medicine