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LINETTE WILSON
NPI 1447923628
Counselor - Mental Health in Fairfield, CT

Active since July 26, 2021PECOS Enrolled
2425 BLACK ROCK TURNPIKE O5, FAIRFIELD, CT 06825(855) 284-7483 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Linette Wilson NPPES

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

LINETTE WILSON (NPI 1447923628) is an individual mental health provider in Fairfield, Connecticut and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2018).

NPPES Registry Identity

NPI1447923628
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLINETTE WILSON
Location Address2425 BLACK ROCK TURNPIKE O5Fairfield, CT 06825
Mailing Address1000 Jefferson St Ste 2cLynchburg, VA 24504-1724 · (617) 379-0434
Phone(855) 284-7483
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2018
Enumeration DateJuly 26, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1447923628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2425 BLACK ROCK TURNPIKE O5, Fairfield, CT 06825
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5395272827
PECOS Enrollment IDI20241223002330
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.

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 Linette Wilson's NPI number?

The NPI number for Linette Wilson is 1447923628. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Linette Wilson located?

Linette Wilson practices at 2425 Black Rock Turnpike O5, Fairfield, CT 06825. The listed phone number is (855) 284-7483.

What is Linette Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Linette Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Linette Wilson was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.