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GORDON BRUCE WILSON LCSW
NPI 1477793271
Counselor - Mental Health in Kingston, PA

Active since March 06, 2009PECOS Enrolled
562 WYOMING AVE, KINGSTON, PA 18704(570) 552-3760(570) 552-3765 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gordon Bruce Wilson Lcsw NPPES

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

GORDON BRUCE WILSON LCSW (NPI 1477793271) is an individual mental health provider in Kingston, Pennsylvania, licensed in Pennsylvania (CWO13852) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477793271
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGORDON BRUCE WILSONCredential: LCSW
Location Address562 WYOMING AVEKingston, PA 18704-3721
Mailing Address562 Wyoming AveKingston, PA 18704-3721 · (570) 552-3760 · Fax (570) 552-3765
Phone(570) 552-3760
Fax(570) 552-3765
Sole ProprietorNo
Enumeration DateMarch 6, 2009
✔ NPI 1477793271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · CWO13852
562 WYOMING AVE, Kingston, PA 18704
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Gordon Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Service Center Of Wyoming Valley, Inc
1.8 mi
Occupational Therapist
110 S PENNSYLVANIA AVE
Wilkes Barre, PA 18701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group
NPI 1649060955 (570) 825-6425

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.

LUZERNE WYOMING COUNTY MH CENTER #1
Psychiatry & Neurology (Psychiatry)
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-3900
DENISE TOMSAK CAC
Counselor (Addiction (Substance Use Disorder))
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-3700
DR. MICHAEL ALLAN CHURCH PHD
Psychologist
562 WYOMING AVE, NESBITT HOSPITAL
KINGSTON, PA 18704
Luzerne County (570) 552-3891
LUZERNE WYOMING COUNTY MH CENTER #1
Clinic/Center
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-3700
MR. JAMES WIELGOPOLSKI RPH
Pharmacist
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-7500
LUZERNE WYOMING COUNTY MH CENTER #1
Psychologist (Counseling)
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-3760
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Clinic/Center (Federally Qualified Health Center (FQHC))
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-3700
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
562 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 552-3700

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 Gordon Wilson's NPI number?

The NPI number for Gordon Wilson is 1477793271. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Where is Gordon Wilson located?

Gordon Wilson practices at 562 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 552-3760.

What is Gordon Wilson's specialty?

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

Is Gordon Wilson enrolled in Medicare?

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

Which organization bills Medicare for Gordon Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Wilson reassigns Medicare benefits to Children's Service Center Of Wyoming Valley, Inc (Wilkes Barre, PA). 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 Gordon Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gordon Wilson accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Gordon 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 Gordon Wilson was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.