DOMINIQUE MARIE WILSON MA, LCPC, CRC
NPI 1407345192
Counselor - Professional in O Fallon, IL
About Dominique Marie Wilson Ma, Lcpc, Crc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE MARIE WILSON MA, LCPC, CRC (NPI 1407345192) is an individual professional provider in O Fallon, Illinois, licensed in Illinois (180.012945) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Dominique Marie Wilson Ma, Lcpc, Crc 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.
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 Dominique Wilson's NPI number?
The NPI number for Dominique Wilson is 1407345192. It was assigned to this individual provider in the NPPES registry on May 8, 2018.
Where is Dominique Wilson located?
Dominique Wilson practices at 785 Wall St # 200, O Fallon, IL 62269. The listed phone number is (618) 367-2194.
What is Dominique Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Dominique Wilson enrolled in Medicare?
Yes. Dominique 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.
What insurance does Dominique Wilson accept?
Health plans from Medica and UnitedHealthcare list Dominique Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dominique Wilson was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dominique Marie Wilson, MA, LCPC, CRC · NPI 1407345192
Professional provider in O Fallon, Illinois. Individual provider, active in the CMS NPPES registry since May 8, 2018.
## Identity
- **NPI:** 1407345192 (Entity type: Individual)
- **Enumerated:** May 8, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.012945 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 785 WALL ST # 200, O Fallon, IL 62269-1959
- **Phone:** (618) 367-2194
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407345192) · Data from the CMS NPPES public registry.