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MR. TIMOTHY WILSON MA, NCC
NPI 1497340244
Counselor - Mental Health in Forest, VA

Active since March 03, 2021PECOS EnrolledAccepts Medicare Assignment
1047 VISTA PARK DR STE A, FOREST, VA 24551(434) 616-2388 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Wilson Ma, Ncc NPPES

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

MR. TIMOTHY WILSON MA, NCC (NPI 1497340244) is an individual mental health provider in Forest, Virginia, licensed in Virginia (0704012471) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497340244
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TIMOTHY WILSONCredential: MA, NCC
Location Address1047 VISTA PARK DR STE AForest, VA 24551-4362
Mailing Address1047 Vista Park Dr Ste AForest, VA 24551-4362 · (434) 616-2388
Phone(434) 616-2388
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1497340244 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 VA · 0704012471
1047 VISTA PARK DR STE A, Forest, VA 24551
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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 and accepts Medicare assignment

Mr. Timothy Wilson Ma, Ncc 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 ID1850889478
PECOS Enrollment IDI20251024000225
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 7

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

ADVANCED PSYCHOTHERAPEUTICS
Psychologist (Clinical)
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388
BRITTANY L FINCH LPC
Counselor (Professional)
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388
DR. ANITA MARIA KNIGHT LPC
Counselor (Mental Health)
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388
ERIN D PINCKNEY LPC
Counselor (Professional)
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388
DUSTIN BEATY MA
Counselor (Mental Health)
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388
ERIN D PINCKNEY, PLLC
Counselor (Professional)
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388
TIMOTHY H. BARCLAY PHD
Psychologist (Addiction (Substance Use Disorder))
1047 VISTA PARK DR STE A
FOREST, VA 24551
Bedford County (434) 616-2388

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 Timothy Wilson's NPI number?

The NPI number for Timothy Wilson is 1497340244. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Timothy Wilson located?

Timothy Wilson practices at 1047 Vista Park Dr Ste A, Forest, VA 24551. The listed phone number is (434) 616-2388.

What is Timothy Wilson's specialty?

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

Is Timothy Wilson enrolled in Medicare?

Yes. Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Wilson was last updated on March 3, 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.