ELIZABETH A WILSON LMHC
NPI 1679809164
Counselor - Mental Health in Watertown, NY

Q: What is Elizabeth Wilson's NPI number?

The NPI number for Elizabeth Wilson is 1679809164. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Q: What is Elizabeth Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Wilson was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 19, 2009PECOS EnrolledAccepts Medicare Assignment

650 STATE ST, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Elizabeth A Wilson Lmhc NPPES

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

ELIZABETH A WILSON LMHC (NPI 1679809164) is an individual mental health provider in Watertown, New York, licensed in New York (004198) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Watertown, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1679809164

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELIZABETH A WILSONCredential: LMHC

Location Address650 STATE STWatertown, NY 13601-2839

Mailing Address120 Washington St Ste 312Watertown, NY 13601-3330 · (315) 755-2665 · Fax (315) 755-2660

Phone(315) 755-1251

Fax(315) 291-6601

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 19, 2009

Last NPPES UpdateNovember 14, 2025

NPPES CertifiedNovember 14, 2025

✔ NPI 1679809164 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 NY · 004198

650 STATE ST, Watertown, NY 13601

Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Washington St Ste 312Watertown, NY 13601-3330 · Phone (315) 755-2665 · Fax (315) 755-2660

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Elizabeth A Wilson Lmhc 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 ID2860984085

PECOS Enrollment IDI20251125002468

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 20

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

KENZIE AUGUSTUS SOCIAL WORKER

Social Worker