DAVID WILSON LLPC
NPI 1952973737
Counselor - Professional in Grand Rapids, MI

Active since July 12, 2021PECOS Enrolled
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546(616) 200-4433 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Wilson Llpc NPPES

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

DAVID WILSON LLPC (NPI 1952973737) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401019214) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952973737
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID WILSONCredential: LLPC
Location Address781 KENMOOR AVE SE STE CGrand Rapids, MI 49546-8624
Mailing Address5844 Dix Dr NeBelmont, MI 49306-9059
Sole ProprietorYes
Enumeration DateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
✔ NPI 1952973737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401019214
781 KENMOOR AVE SE STE C, Grand Rapids, MI 49546

Other Identifiers 1

OtherW425135661744MI · Driver's License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Wilson Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show David Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling
3333 EVERGREEN DR NE STE 210
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Michigan enrollment
  • 411 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 18

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

Counselor (Professional)
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Social Worker
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Counselor
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Social Worker
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Social Worker
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546
Social Worker
781 KENMOOR AVE SE STE C
GRAND RAPIDS, MI 49546

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 David Wilson's NPI number?

The NPI number for David Wilson is 1952973737. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is David Wilson located?

David Wilson practices at 781 Kenmoor Ave SE Ste C, Grand Rapids, MI 49546. The listed phone number is (616) 200-4433.

What is David Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Wilson enrolled in Medicare?

Yes. David Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wilson reassigns Medicare benefits to 2 organizations: Meghan Mclain PC (Grand Rapids, MI) and Grow Healthcare Group PA (Miami, FL). Each 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 David Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Wilson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list David 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 David Wilson was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.