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MCKENZIE WILSON MA
NPI 1942181979
Counselor - Mental Health in Peoria, IL

Active since September 08, 2025
7625 N UNIVERSITY ST, PEORIA, IL 61614(309) 676-0538 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenzie Wilson Ma NPPES

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

MCKENZIE WILSON MA (NPI 1942181979) is an individual mental health provider in Peoria, Illinois and active in the NPI registry since September 2025. She maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1942181979
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMCKENZIE WILSONCredential: MA
Location Address7625 N UNIVERSITY STPeoria, IL 61614-1253
Mailing Address112 N Leonard DrChillicothe, IL 61523-1946 · (309) 676-0538
Phone(309) 676-0538
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1942181979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X

Secondary Practice Location 1

Location 11012 Ekstam DrBloomington, IL 61704-6383 · Phone (309) 455-5703

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. MELISSA MARIE ROSS LCPC, NCC
Counselor (Mental Health)
7625 N UNIVERSITY ST
PEORIA, IL 61614
Peoria County (309) 296-0078

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 Mckenzie Wilson's NPI number?

The NPI number for Mckenzie Wilson is 1942181979. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Mckenzie Wilson located?

Mckenzie Wilson practices at 7625 N University St, Peoria, IL 61614. The listed phone number is (309) 676-0538.

What is Mckenzie 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 Mckenzie Wilson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.