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BRENDEN IZAYJAH WILSON
NPI 1467149088
Counselor in Springfield, MA

Active since April 24, 2023
121 STATE ST STE 100, SPRINGFIELD, MA 01103(413) 301-7797(413) 301-7896 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenden Izayjah Wilson NPPES

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

BRENDEN IZAYJAH WILSON (NPI 1467149088) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since April 2023. He maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1467149088
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRENDEN IZAYJAH WILSON
Location Address121 STATE ST STE 100Springfield, MA 01103-1986
Mailing Address125 Liberty St Ste 100Springfield, MA 01103-1109 · (413) 301-7797 · Fax (413) 301-7896
Phone(413) 301-7797
Fax(413) 301-7896
Sole ProprietorNo
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1467149088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
121 STATE ST STE 100, Springfield, MA 01103
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Secondary Practice Location 1

Location 1125 Liberty St Ste 100Springfield, MA 01103-1109 · Phone (413) 301-7797 ext. 1000 · Fax (413) 301-7896

Other Providers at the Same Location NPPES 6

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

LATINO COUNSELING CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
121 STATE ST STE 100
SPRINGFIELD, MA 01103
Hampden County (413) 301-7797
CARMELO GUZMAN II
Counselor (Mental Health)
121 STATE ST STE 100
SPRINGFIELD, MA 01103
Hampden County (860) 374-1759
FRANCHESCA OCASIO
Counselor
121 STATE ST STE 100
SPRINGFIELD, MA 01103
Hampden County (413) 301-7797
WANITA JUDITH THOMAS
Behavior Technician
121 STATE ST STE 100
SPRINGFIELD, MA 01103
Hampden County (413) 301-7797
ASHLY SANCHEZ
Counselor (Mental Health)
121 STATE ST STE 100
SPRINGFIELD, MA 01103
Hampden County (413) 693-4176
ALYZAY CHIANALIZ CORREA
Counselor (Mental Health)
121 STATE ST STE 100
SPRINGFIELD, MA 01103
Hampden County (413) 301-7797

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 Brenden Wilson's NPI number?

The NPI number for Brenden Wilson is 1467149088. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Brenden Wilson located?

Brenden Wilson practices at 121 State St Ste 100, Springfield, MA 01103. The listed phone number is (413) 301-7797.

What is Brenden Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Brenden Wilson was last updated on April 24, 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.