MS. SUSAN A WILSON LAC
NPI 1902303035
Counselor - Mental Health in Fair Lawn, NJ

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
22-08 ROUTE 208, FAIR LAWN, NJ 07410(201) 956-6363 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Susan A Wilson Lac NPPES

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

MS. SUSAN A WILSON LAC (NPI 1902303035) is an individual mental health provider in Fair Lawn, New Jersey, licensed in New Jersey (37AC00381600) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902303035
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSAN A WILSONCredential: LAC
Location Address22-08 ROUTE 208Fair Lawn, NJ 07410-2609
Mailing Address1347 Paddington RdMahwah, NJ 07430-3258 · (551) 427-3169
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2018
NPI 1902303035 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 NJ · 37AC00381600
22-08 ROUTE 208, Fair Lawn, NJ 07410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Susan A Wilson Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123561438
PECOS Enrollment IDI20240614002236
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Peer Specialist
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Peer Specialist
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Counselor (Professional)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Counselor
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Social Worker (Clinical)
22-08 ROUTE 208, SUITE 7
FAIR LAWN, NJ 07410
Counselor (Professional)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Social Worker (Clinical)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Counselor (Mental Health)
22-08 ROUTE 208
FAIR LAWN, NJ 07410

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 Susan Wilson's NPI number?

The NPI number for Susan Wilson is 1902303035. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Susan Wilson located?

Susan Wilson practices at 22-08 Route 208, Fair Lawn, NJ 07410. The listed phone number is (201) 956-6363.

What is Susan Wilson's specialty?

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

Is Susan Wilson enrolled in Medicare?

Yes. Susan Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Wilson was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.