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

Q: 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.

Q: What is Michele Wilson's specialty?

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

Q: 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.

Active since November 24, 2020PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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

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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 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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Michele Nielle Wilson Lpc 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 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.

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.

SARAH C COOLEY MSW, LCSW

Social Worker (Clinical)