MS. SUSAN A WILSON LAC
NPI 1902303035
Counselor - Mental Health in Fair Lawn, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Susan Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wilson reassigns Medicare benefits to Wellsprings Counseling Center, LLC (Fair Lawn, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ms. Susan A Wilson, LAC · NPI 1902303035
Mental Health provider in Fair Lawn, New Jersey. Individual provider, active in the CMS NPPES registry since April 5, 2018.
## Identity
- **NPI:** 1902303035 (Entity type: Individual)
- **Enumerated:** April 5, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 37AC00381600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 22-08 ROUTE 208, Fair Lawn, NJ 07410-2609
- **Phone:** (201) 956-6363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wellsprings Counseling Center, LLC (NPI 1285844050, Fair Lawn, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1902303035) · Data from the CMS NPPES public registry.