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Michael Wilson , LPCC

Counselor β€’ Port Clinton, OH

Active NPI 1356723803 Individual Practitioner Male Practitioner
Practice location in NPPES

202 Rose Ln
Port Clinton, OH 434521638

Call 6145199233 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

202 Rose Ln

Port Clinton, OH 434521638

Telephone 6145199233

NPI first issued

2015

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

Can order Medicare-covered services

CMS lists Michael Wilson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Port Clinton and Ohio

2 active clinicians are listed under Counselor with a practice address in Port Clinton, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

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

Self-certified to NPPES: 2026-05-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E.2606104

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location May 07, 2026

Registered at 202 ROSE LN, PORT CLINTON, OH 434521638 (Tel: 6145199233)

πŸ“
Updated Business Mailing Address May 07, 2026

Registered at 202 ROSE LN, PORT CLINTON, OH 434521638 (Tel: 6145199233)

πŸ‘€
Provider Name / Credentials Updated May 07, 2026

Recorded as MICHAEL WILSON, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2026

Counselor (license number reported to NPPES: OH E.2606104)

βœ…
NPI Profile Active June 22, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 22, 2015

Registered at 348 WILSON AVE, PORT CLINTON, OH 434521740 (Tel: 6145199233)

πŸ“
Business Mailing Address (Initial Record) June 22, 2015

Registered at 348 WILSON AVE, PORT CLINTON, OH 434521740 (Tel: 6145199233)

πŸ‘€
Provider Name / Credentials (Initial Record) June 22, 2015

Recorded as MICHAEL WILSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Home Health Aide

🟒
Initial NPI Registration & Enumeration June 22, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356723803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2015
Last Update: May 07, 2026
Sole Proprietor: Yes

Mailing Address

202 Rose Ln

Port Clinton, OH 434521638

Phone: 6145199233

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.