1. Home
  2. Directory
  3. New York
  4. Watertown
  5. Counselor
  6. NPI Profile

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

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: November 01, 2026.

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Citizen Advocates, Inc
101 mi
Rehabilitation, Substance Use Disorder
31 6TH ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group
NPI 1780619064 (518) 483-1251

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.

KENZIE AUGUSTUS SOCIAL WORKER
Social Worker
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
MIRIAH KRISTINE QUESENBERRY
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ANGEL J SHEPHERD
Licensed Practical Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
SABRINA KAY MADDEN RN
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
YANILIS ARROYO CRUZ
Student in an Organized Health Care Education/Training Program
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
NATALIE RIVELLLI MHC
Counselor (Mental Health)
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
EMILY LANTRY
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ARIANNA ELISE BARKER I
Case Manager/Care Coordinator
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251

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 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.

Where is Elizabeth Wilson located?

Elizabeth Wilson practices at 650 State St, Watertown, NY 13601. The listed phone number is (315) 755-1251.

What is Elizabeth Wilson's specialty?

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

Is Elizabeth Wilson enrolled in Medicare?

Yes. Elizabeth 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.

Which organization bills Medicare for Elizabeth Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wilson reassigns Medicare benefits to Citizen Advocates, Inc (Malone, NY). 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 Elizabeth Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.