CHARLES JAY WILSON MA, LPC
NPI 1750744678
Counselor - Professional in Bolivar, MO

Q: What is Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1750744678. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Q: What is Charles Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Charles Wilson was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 29, 2016

711 N MARKET AVE, BOLIVAR, MO 65613(417) 399-1793 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Apr 23, 2026, Jan 19, 2021 and 1 more (4 updates tracked since 2016).

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About Charles Jay Wilson Ma, Lpc NPPES

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

CHARLES JAY WILSON MA, LPC (NPI 1750744678) is an individual professional provider in Bolivar, Missouri, licensed in Missouri (2016008451) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1750744678

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameCHARLES JAY WILSONCredential: MA, LPC

Location Address711 N MARKET AVEBolivar, MO 65613-1114

Mailing Address711 N Market AveBolivar, MO 65613-1114 · (417) 399-1793

Phone(417) 399-1793

Sole ProprietorYes

Enumeration DateMarch 29, 2016

Last NPPES UpdateMay 5, 20264 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1750744678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2016008451

711 N MARKET AVE, Bolivar, MO 65613

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Other Providers at the Same Location NPPES

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

NEW WAY PSYCHOLOGICAL SERVICES LLC

Counselor (Professional)

711 N MARKET AVE
BOLIVAR, MO 65613

Polk County (417) 399-1793

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 Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1750744678. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Charles Wilson located?

Charles Wilson practices at 711 N Market Ave, Bolivar, MO 65613. The listed phone number is (417) 399-1793.

What is Charles Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Charles Wilson was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.