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MR. CLIFFORD WILSON LCMHC
NPI 1912173956
Counselor - Mental Health in Mooresville, NC

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117(704) 360-3637(704) 200-9829 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Clifford Wilson Lcmhc NPPES

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

MR. CLIFFORD WILSON LCMHC (NPI 1912173956) is an individual mental health provider in Mooresville, North Carolina, licensed in North Carolina (6847) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1912173956
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CLIFFORD WILSONCredential: LCMHC
Location Address122 GATEWAY BLVD STE CMooresville, NC 28117-5544
Mailing Address122 Gateway Blvd Ste CMooresville, NC 28117-5544 · (704) 360-3637 · Fax (704) 200-9829
Phone(704) 360-3637
Fax(704) 200-9829
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateApril 30, 2008
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1912173956 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 NC · 6847
122 GATEWAY BLVD STE C, Mooresville, NC 28117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Mr. Clifford Wilson Lcmhc 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 ID9133565195
PECOS Enrollment IDI20240312004162
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.

ERIN HAVERKAMP
Social Worker (Clinical)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
ASHELI M THOMPSON
Counselor (Professional)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
MS. SARAH ANNE HARKINS LCSW
Social Worker (Clinical)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
HEATHER B STORCK LCSW
Social Worker (Clinical)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (980) 766-1030
ELIZABETH AFRIYIE OWUSU NP-C
Nurse Practitioner (Psychiatric/Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
AMANY BRANCO
Counselor (Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (253) 346-1377
CASSIE LEVIGNE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637
MRS. LUCINDA J. HAMMOND MA, LPC
Counselor (Mental Health)
122 GATEWAY BLVD STE C
MOORESVILLE, NC 28117
Iredell County (704) 360-3637

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 Clifford Wilson's NPI number?

The NPI number for Clifford Wilson is 1912173956. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Clifford Wilson located?

Clifford Wilson practices at 122 Gateway Blvd Ste C, Mooresville, NC 28117. The listed phone number is (704) 360-3637.

What is Clifford Wilson's specialty?

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

Is Clifford Wilson enrolled in Medicare?

Yes. Clifford 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.

What insurance does Clifford Wilson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Clifford Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clifford Wilson was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.