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MICHAEL WAYNE WILSON QMHA
NPI 1861145948
Counselor - Mental Health in Medford, OR

Active since January 30, 2022
2932 HILLCREST RD, MEDFORD, OR 97504(541) 727-7669 Get Directions Write a Review

NPPES record last updated: January 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Wayne Wilson Qmha NPPES

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

MICHAEL WAYNE WILSON QMHA (NPI 1861145948) is an individual mental health provider in Medford, Oregon, licensed in Oregon (21-QMHA-R-1053) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1861145948
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL WAYNE WILSONCredential: QMHA
Location Address2932 HILLCREST RDMedford, OR 97504-7752
Mailing Address2932 Hillcrest RdMedford, OR 97504-7752 · (541) 727-7669
Phone(541) 727-7669
Sole ProprietorYes
Enumeration DateJanuary 30, 2022
NPPES CertifiedJanuary 30, 2022
✔ NPI 1861145948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 21-QMHA-R-1053
2932 HILLCREST RD, Medford, OR 97504
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Other Providers at the Same Location NPPES 3

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

FAMILY CREST HOMES LLC
Custodial Care Facility (Adult Care Home)
2932 HILLCREST RD
MEDFORD, OR 97504
Jackson County (541) 646-8609
TRUE CHRISTIAN GOODNESS I QHMA
Counselor (Mental Health)
2932 HILLCREST RD
MEDFORD, OR 97504
Jackson County (541) 727-7669
FAMILY CREST HOMES LLC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
2932 HILLCREST RD
MEDFORD, OR 97504
Jackson County (541) 646-8609

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 1861145948. It was assigned to this individual provider in the NPPES registry on January 30, 2022.

Where is Michael Wilson located?

Michael Wilson practices at 2932 Hillcrest Rd, Medford, OR 97504. The listed phone number is (541) 727-7669.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on January 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.