CORALEEN Y WILSON LLPC
NPI 1780294868
Counselor - Professional in Southfield, MI

Q: What is Coraleen Wilson's NPI number?

The NPI number for Coraleen Wilson is 1780294868. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Q: What is Coraleen 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 Coraleen Wilson was last updated on May 12, 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 August 04, 2020PECOS Enrolled

24445 NORTHWESTERN HWY, SOUTHFIELD, MI 48075(248) 242-5545(248) 450-0582 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2026, Aug 18, 2022, Aug 4, 2020 (3 updates tracked since 2020).

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About Coraleen Y Wilson Llpc NPPES

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

CORALEEN Y WILSON LLPC (NPI 1780294868) is an individual professional provider in Southfield, Michigan, licensed in Michigan (6401226225) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780294868

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCORALEEN Y WILSONCredential: LLPC

Location Address24445 NORTHWESTERN HWYSouthfield, MI 48075-6501

Mailing Address18726 S Western Ave Ste 408Gardena, CA 90248-3858 · (310) 856-0800 · Fax (855) 568-2494

Phone(248) 242-5545

Fax(248) 450-0582

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 4, 2020

Last NPPES UpdateMay 12, 20263 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1780294868 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 MI · 6401226225

24445 NORTHWESTERN HWY, Southfield, MI 48075

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coraleen Y Wilson Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880168210

PECOS Enrollment IDI20260707001526

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.

JESSICA SILBER

Social Worker (Clinical)

24445 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Oakland County (248) 483-7804

ERICKA NICOLE FLETCHER BT

Behavior Technician

24445 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Oakland County (248) 483-7804

NILE WILSON

Case Manager/Care Coordinator

24445 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Oakland County (248) 483-7804

PREMIER MEDICAL EQUIPMENT, LLC

Durable Medical Equipment & Medical Supplies

24445 NORTHWESTERN HWY, SUITE 212
SOUTHFIELD, MI 48075

Oakland County (248) 352-9331

KENNETT MATTHEW BRINKMANN

Case Manager/Care Coordinator

24445 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Oakland County (248) 606-9105

SAMANTHA SMITH LLPC

Counselor

24445 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Oakland County (248) 483-7804

DR. SHEILA ANN WRIGHT D.P.M.

Podiatrist

24445 NORTHWESTERN HWY, SUITE 206
SOUTHFIELD, MI 48075

Oakland County (248) 799-0086

JAYLA ANDERSON

Behavior Technician

24445 NORTHWESTERN HWY
SOUTHFIELD, MI 48075

Oakland County (248) 483-7804

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 Coraleen Wilson's NPI number?

The NPI number for Coraleen Wilson is 1780294868. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Coraleen Wilson located?

Coraleen Wilson practices at 24445 Northwestern Hwy, Southfield, MI 48075. The listed phone number is (248) 242-5545.

What is Coraleen Wilson's specialty?

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

Is Coraleen Wilson enrolled in Medicare?

Yes. Coraleen Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coraleen Wilson was last updated on May 12, 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.