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CEDRIC WILSON
NPI 1922624154
Counselor - Mental Health in Roanoke, VA

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
3959 ELECTRIC RD STE 330, ROANOKE, VA 24018(540) 339-7674(540) 685-0994 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2023, Mar 2, 2021, Jun 23, 2020 (3 updates tracked since 2020).

About Cedric Wilson NPPES

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

CEDRIC WILSON (NPI 1922624154) is an individual mental health provider in Roanoke, Virginia, licensed in Virginia (0701008867) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922624154
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCEDRIC WILSON
Location Address3959 ELECTRIC RD STE 330Roanoke, VA 24018-4563
Mailing Address2907 Oak Crest Ave SwRoanoke, VA 24015-4609 · (540) 339-7674 · Fax (540) 685-0994
Phone(540) 339-7674
Fax(540) 685-0994
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 23, 2020
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1922624154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701008867
Also ListedCounselorTaxonomy 101Y00000X · License 0701008867 (VA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0701008867 (VA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701008867 (VA)
3959 ELECTRIC RD STE 330, Roanoke, VA 24018
Open in Google Maps ↗

Other Identifiers 1

Other1013502137VA · Npi2

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Cedric Wilson 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 ID5092292565
PECOS Enrollment IDI20260127002432
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.

Medicare Billing Reassignment

Medicare enrollment records show Cedric Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedric Wilson, Lpc, LLC
1.3 mi
Mental Health (Including Community Mental Health Center)
3048 BRAMBLETON AVE SW
Roanoke, VA 24015
  • Reassigned Medicare billing, Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1013502137 (540) 339-7674

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 5

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

EMILY BOWLES
Counselor (Mental Health)
3959 ELECTRIC RD STE 330
ROANOKE, VA 24018
Roanoke County (540) 339-7674
IDA BRAFORD
Student in an Organized Health Care Education/Training Program
3959 ELECTRIC RD STE 330
ROANOKE, VA 24018
Roanoke County (540) 339-7674
MEGAN LEIGH KEITH LCSW
Counselor (Mental Health)
3959 ELECTRIC RD STE 330
ROANOKE, VA 24018
Roanoke County (540) 339-7674
NATALIE LINH LA
Counselor (Mental Health)
3959 ELECTRIC RD STE 330
ROANOKE, VA 24018
Roanoke County (540) 339-7674
SHERREE-ANN HUMAYUN MSW
Social Worker (Clinical)
3959 ELECTRIC RD STE 330
ROANOKE, VA 24018
Roanoke County (540) 339-7674

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 Cedric Wilson's NPI number?

The NPI number for Cedric Wilson is 1922624154. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Cedric Wilson located?

Cedric Wilson practices at 3959 Electric Rd Ste 330, Roanoke, VA 24018. The listed phone number is (540) 339-7674.

What is Cedric Wilson's specialty?

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

Is Cedric Wilson enrolled in Medicare?

Yes. Cedric 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 Cedric Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cedric Wilson reassigns Medicare benefits to Cedric Wilson, Lpc, LLC (Roanoke, VA). 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 Cedric Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cedric Wilson accept?

Health plans from Oscar Health list Cedric 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 Cedric Wilson was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.