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MR. KEVIN WILSON LAC
NPI 1528861069
Counselor - Mental Health in Wall Township, NJ

Active since March 31, 2025
1350 CAMPUS PKWY STE 101, WALL TOWNSHIP, NJ 07753(732) 924-5589 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Wilson Lac NPPES

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

MR. KEVIN WILSON LAC (NPI 1528861069) is an individual mental health provider in Wall Township, New Jersey, licensed in New Jersey (37AC00772000) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1528861069
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN WILSONCredential: LAC
Location Address1350 CAMPUS PKWY STE 101Wall Township, NJ 07753-6841
Mailing Address25 Bretonian DrBrick, NJ 08723-5763 · (732) 678-3505
Phone(732) 924-5589
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1528861069 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 NJ · 37AC00772000
1350 CAMPUS PKWY STE 101, Wall Township, NJ 07753
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Other Providers at the Same Location NPPES 2

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

JULIA TRACY LSW
Social Worker
1350 CAMPUS PKWY STE 101
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 456-9444
MICHAEL EGGIE CARROLL
Counselor (Mental Health)
1350 CAMPUS PKWY STE 101
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 924-5589

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 Kevin Wilson's NPI number?

The NPI number for Kevin Wilson is 1528861069. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Kevin Wilson located?

Kevin Wilson practices at 1350 Campus Pkwy Ste 101, Wall Township, NJ 07753. The listed phone number is (732) 924-5589.

What is Kevin Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Wilson was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.