1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Peer Specialist
  6. NPI Profile

MR. THOMAS ALVIN WILSON JR. PSS
NPI 1568258796
Peer Specialist in Medford, OR

Active since April 15, 2025
300 W MAIN ST, MEDFORD, OR 97501(541) 772-1777 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thomas Alvin Wilson Jr. Pss NPPES

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

MR. THOMAS ALVIN WILSON JR. PSS (NPI 1568258796) is an individual peer specialist in Medford, Oregon, licensed in Oregon (24-CRM-3633) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1568258796
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. THOMAS ALVIN WILSON JR.Credential: PSS
Location Address300 W MAIN STMedford, OR 97501-2756
Mailing Address300 W Main StMedford, OR 97501-2756 · (541) 772-1777
Phone(541) 772-1777
Sole ProprietorNo
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1568258796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 24-CRM-3633
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
300 W MAIN ST, Medford, OR 97501
Open in Google Maps ↗

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.

SHOSHANNA NOELLE LANE
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MISS BRENDA PALOMERA
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MONICA BOONE
Technician, Health Information
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-4648
JOSUE R GUERRERO CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
CODY J DOLLARHIDE
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
SHERRI LEE LANDRENEAU CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (547) 772-1777
ARCHANA N SUNDAR
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 237-5059
KAYLA LUSK
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 200-2414

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 Thomas Wilson's NPI number?

The NPI number for Thomas Wilson is 1568258796. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Thomas Wilson located?

Thomas Wilson practices at 300 W Main St, Medford, OR 97501. The listed phone number is (541) 772-1777.

What is Thomas Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Thomas Wilson was last updated on April 15, 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.