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: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Mental Health

About MICHAEL WILSON

This page provides the complete NPI Profile along with additional information for Michael Wilson, a provider established in Medford, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1861145948 assigned on January 2022. The practitioner's primary taxonomy code is 101YM0800X with license number 21-QMHA-R-1053 (OR). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1861145948 Verify this NPI
Provider Name
MICHAEL WAYNE WILSON QMHA
Gender
Male
Entity Type
Individual
Location Address
2932 HILLCREST RD MEDFORD, OR 97504
Location Phone
(541) 727-7669
Mailing Address
2932 HILLCREST RD MEDFORD, OR 97504
Mailing Phone
(541) 727-7669
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2022
Last Update Date
01-30-2022
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A mental health counselor like Michael Wilson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
21-QMHA-R-1053
License State
OR

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2932 HILLCREST RD
MEDFORD, OR 97504
Custodial Care Facility (Adult Care Home)
2932 HILLCREST RD
MEDFORD, OR 97504
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
2932 HILLCREST RD
MEDFORD, OR 97504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861145948, enumerated as an "individual" on January 30, 2022.

The provider is located at 2932 HILLCREST RD MEDFORD, OR 97504 and the phone number is (541) 727-7669.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.