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Derek James Wilson , LPC

Counselor - Professional β€’ Windsor, CT

Active NPI 1114348729 Individual Practitioner Male Practitioner
Practice location in NPPES

360 Bloomfield Ave Ste 301
Windsor, CT 060952700

Call 8604713819 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

360 Bloomfield Ave Ste 301

Windsor, CT 060952700

Telephone 8604713819
Organization at the Same NPPES Address or Phone
Seasons Christian Counseling, Llc Facility NPI 1699250928

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Waterbury, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Windsor and Connecticut

18 active clinicians are listed under Counselor - Professional with a practice address in Windsor, CT (2,814 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Windsor

5.6% of these 18 clinicians have the CMS telehealth indicator.

11.1% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES CT 003206
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Secondary Practice Locations

50 Brookside Rd

Waterbury, CT 067081402

Phone: 2037554490

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Gabriella Greco , DO

Psychiatry & Neurology - Psychiatry

NPI 1972768604

Doctor of Osteopathic Medicine (D.O.)

Kaitlin Schmidt , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003359738

Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 02, 2018

Registered at 360 BLOOMFIELD AVE STE 301, WINDSOR, CT 060952700 (Tel: 8604713819)

πŸ“
Updated Business Mailing Address October 02, 2018

Registered at 260 CARRIAGE CROSSING LN, MIDDLETOWN, CT 064575864 (Tel: 8604713819)

πŸ‘€
Provider Name / Credentials Updated October 02, 2018

Recorded as DEREK WILSON, LPC

βœ…
NPI Profile Active December 27, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 27, 2013

Registered at 50 BROOKSIDE RD, WATERBURY, CT 067081402 (Tel: 2037554490)

πŸ“
Business Mailing Address (Initial Record) December 27, 2013

Registered at 50 BROOKSIDE RD, WATERBURY, CT 067081402 (Tel: 2037554490)

πŸ‘€
Provider Name / Credentials (Initial Record) December 27, 2013

Recorded as DEREK WILSON, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2013

Counselor

🟒
Initial NPI Registration & Enumeration December 27, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114348729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2013
Last Update: October 02, 2018
Sole Proprietor: No

Mailing Address

260 Carriage Crossing Ln

Middletown, CT 064575864

Phone: 8604713819

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.