DEREK PAYSON WILSON M.ED
NPI 1861173627
Counselor - Professional in Plantsville, CT
- Individual
- Male
- Counselor
- Professional
About DEREK WILSON
This page provides the complete NPI Profile along with additional information for Derek Wilson, a provider established in Plantsville, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1861173627 assigned on July 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 8592 (CT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1861173627 Verify this NPI
- Provider Name
- DEREK PAYSON WILSON M.ED
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 791 S MAIN ST PLANTSVILLE, CT 06479
- Location Phone
- (860) 378-8090
- Mailing Address
- 791 S MAIN ST PLANTSVILLE, CT 06479
- Mailing Phone
- (860) 378-8090
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2023
- Last Update Date
- 07-10-2025
- Code Navigator
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 8592
- License State
- CT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | (MA) |
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861173627, enumerated as an "individual" on July 26, 2023.
The provider is located at 791 S MAIN ST PLANTSVILLE, CT 06479 and the phone number is (860) 378-8090.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
