JANON BERRY WILSON LPC
NPI 1790164622
Counselor - Professional in Hackensack, NJ
About Janon Berry Wilson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANON BERRY WILSON LPC (NPI 1790164622) is an individual professional provider in Hackensack, New Jersey, licensed in Pennsylvania (PC006772) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Janon Berry Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Janon Berry Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia, Georgia and Texas enrollments
- 1,424 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Brightside Medical PC
- 30 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Brightside Medical PC
- 231 clinicians in this Medicare group
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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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 Janon Berry Wilson's NPI number?
The NPI number for Janon Berry Wilson is 1790164622. It was assigned to this individual provider in the NPPES registry on May 26, 2015. The provider is also known as Janon Berry.
Where is Janon Berry Wilson located?
Janon Berry Wilson practices at 411 Hackensack Ave Ste 200, Hackensack, NJ 07601. The listed phone number is (570) 763-9443.
What is Janon Berry Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Janon Berry Wilson enrolled in Medicare?
Yes. Janon Berry Wilson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Janon Berry Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janon Berry Wilson reassigns Medicare benefits to 4 organizations: Grow Healthcare Group Of New Jersey PC (Hoboken, NJ), Grow Healthcare Group PA (Miami, FL), Brightside Medical, P.C. (San Francisco, CA) and Brightside Medical, P.C. (San Francisco, CA). Each 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 Janon Berry Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Janon Berry Wilson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and Oscar Insurance Company and 1 other insurer list Janon Berry 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 Janon Berry Wilson was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Janon Berry Wilson, LPC · NPI 1790164622
Professional provider in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 26, 2015.
## Identity
- **NPI:** 1790164622 (Entity type: Individual)
- **Enumerated:** May 26, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC006772 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 411 HACKENSACK AVE STE 200, Hackensack, NJ 07601-6451
- **Phone:** (570) 763-9443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Brightside Medical, P.C. (NPI 1508325184, San Francisco, CA); Brightside Medical, P.C. (NPI 1801355482, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790164622) · Data from the CMS NPPES public registry.