MICHAEL RYAN WILSON MA
NPI 1770851834
Counselor in Easley, SC

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
112 JOHN ST STE 101, EASLEY, SC 29640(864) 442-7585(864) 859-9648 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Ryan Wilson Ma NPPES

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

MICHAEL RYAN WILSON MA (NPI 1770851834) is an individual counselor in Easley, South Carolina, licensed in South Carolina (6681) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1770851834
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAEL RYAN WILSONCredential: MA
Location Address112 JOHN ST STE 101Easley, SC 29640-1405
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Fax(864) 859-9648
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 5, 2011
Last NPPES UpdateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
NPI 1770851834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in SC · 6681
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
112 JOHN ST STE 101, Easley, SC 29640

Secondary Practice Location 1

Location 1124 Mallard StGreenville, SC 29601-4046 · Phone (864) 241-1040 ext. 252 · Fax (864) 241-1124

Other Identifiers 1

Medicaid121328SC

Accepted 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

Michael Ryan Wilson Ma 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 ID5092177873
PECOS Enrollment IDI20241205003006
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 7

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

Marriage & Family Therapist
112 JOHN ST STE 101
EASLEY, SC 29640
Counselor (Addiction (Substance Use Disorder))
112 JOHN ST STE 101
EASLEY, SC 29640
Social Worker (Clinical)
112 JOHN ST STE 101
EASLEY, SC 29640
Counselor
112 JOHN ST STE 101
EASLEY, SC 29640
Nurse Practitioner (Psychiatric/Mental Health)
112 JOHN ST STE 101
EASLEY, SC 29640
Counselor (Professional)
112 JOHN ST STE 101
EASLEY, SC 29640
Social Worker
112 JOHN ST STE 101
EASLEY, SC 29640

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1770851834. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Michael Wilson located?

Michael Wilson practices at 112 John St Ste 101, Easley, SC 29640. The listed phone number is (864) 442-7585.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Michael Wilson enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Wilson accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Michael Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.