MR. JOHNNIE LEFUEL WILSON IV LCASA
NPI 1770041592
Counselor - Addiction (Substance Use Disorder) in Fayetteville, NC

Q: What is Johnnie Wilson's NPI number?

The NPI number for Johnnie Wilson is 1770041592. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Q: What is Johnnie Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Johnnie Wilson was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 11, 2019

6307 MELODY LN, FAYETTEVILLE, NC 28304(910) 627-7210 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Johnnie Lefuel Wilson Iv Lcasa NPPES

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

MR. JOHNNIE LEFUEL WILSON IV LCASA (NPI 1770041592) is an individual addiction (substance use disorder) provider in Fayetteville, North Carolina, licensed in North Carolina (A25300) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1770041592

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. JOHNNIE LEFUEL WILSON IVCredential: LCASA

Location Address6307 MELODY LNFayetteville, NC 28304-5554

Mailing Address6307 Melody LnFayetteville, NC 28304-5554 · (910) 627-7210

Phone(910) 627-7210

Sole ProprietorYes

Enumeration DateMarch 11, 2019

✔ NPI 1770041592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · A25300

6307 MELODY LN, Fayetteville, NC 28304

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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 Johnnie Wilson's NPI number?

The NPI number for Johnnie Wilson is 1770041592. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Johnnie Wilson located?

Johnnie Wilson practices at 6307 Melody Ln, Fayetteville, NC 28304. The listed phone number is (910) 627-7210.

What is Johnnie Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Johnnie Wilson was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.