MICHELE NIELLE WILSON LPC
NPI 1396349916
Counselor - Professional in Colorado Springs, CO

Active since November 24, 2020PECOS Enrolled
220 RUSKIN DR, COLORADO SPRINGS, CO 80910(719) 572-6100(719) 572-6089 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2024, Nov 24, 2020 (2 updates tracked since 2020).

About Michele Nielle Wilson Lpc NPPES

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

MICHELE NIELLE WILSON LPC (NPI 1396349916) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0018352) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396349916
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICHELE NIELLE WILSONCredential: LPC
Location Address220 RUSKIN DRColorado Springs, CO 80910-2522
Mailing Address1795 Jet Wing DrColorado Springs, CO 80916-2332 · (719) 572-6100
Fax(719) 572-6089
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 24, 2020
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1396349916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CO · LPC.0018352✔ Licensed in CO · LPCC.0017796
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LPC0018352 (CO)
220 RUSKIN DR, Colorado Springs, CO 80910

Secondary Practice Location 1

Location 11765 S 8th St Ste 200Colorado Springs, CO 80905-1952 · Phone (719) 201-1668

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Nielle Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668816059
PECOS Enrollment IDI20240213003685
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.

Medicare Billing Reassignment

Medicare enrollment records show Michele Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
320 E FONTANERO ST STE 301
Colorado Springs, CO 80907
  • Reassigned Medicare billing, Colorado enrollment
  • 11 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Counselor
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Counselor
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Case Manager/Care Coordinator
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Counselor
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Clinic/Center (Mental Health (Including Community Mental Health Center))
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Case Manager/Care Coordinator
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
Case Manager/Care Coordinator
220 RUSKIN DR
COLORADO SPRINGS, CO 80910

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 Michele Wilson's NPI number?

The NPI number for Michele Wilson is 1396349916. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Michele Wilson located?

Michele Wilson practices at 220 Ruskin Dr, Colorado Springs, CO 80910. The listed phone number is (719) 572-6100.

What is Michele Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michele Wilson enrolled in Medicare?

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

Which organization bills Medicare for Michele Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Wilson reassigns Medicare benefits to Rocksolid Care Inc. (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michele Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michele Wilson was last updated on July 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.