CLAYTON T WILSON
NPI 1891403408
Counselor - Mental Health in Chicago, IL

Active since November 11, 2022
2701 N MILDRED AVE APT 3A, CHICAGO, IL 60614(872) 254-4563 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Oct 1, 2024, Nov 11, 2022 (3 updates tracked since 2022).

About Clayton T Wilson NPPES

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

CLAYTON T WILSON (NPI 1891403408) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (149026718) and active in the NPI registry since November 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891403408
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLAYTON T WILSON
Location Address2701 N MILDRED AVE APT 3AChicago, IL 60614-1407
Mailing Address2701 N Mildred Ave Apt 3aChicago, IL 60614-1407 · (872) 254-4563
Sole ProprietorNo
Enumeration DateNovember 11, 2022
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1891403408 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 IL · 149026718
2701 N MILDRED AVE APT 3A, Chicago, IL 60614

Secondary Practice Locations 2

Location 1122 S Michigan Ave Ste 1450Chicago, IL 60603-6176 · Phone (312) 786-4990
Location 22835 N Sheffield Ave Ste 302Chicago, IL 60657-5084 · Phone (872) 254-4563

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
2701 N MILDRED AVE APT 3A
CHICAGO, IL 60614

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 Clayton Wilson's NPI number?

The NPI number for Clayton Wilson is 1891403408. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Clayton Wilson located?

Clayton Wilson practices at 2701 N Mildred Ave Apt 3A, Chicago, IL 60614. The listed phone number is (872) 254-4563.

What is Clayton 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 Clayton Wilson was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.