Ebony N Wilson, LPC, LADC in Torrington, CT - Medicare Counselor Provider

Ebony N Wilson, LPC, LADC is a medicare enrolled "Counselor - Professional" provider in Torrington, Connecticut. Her current practice location is 65 Highfield Dr, Torrington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 626-5002.

Ebony N Wilson is licensed to practice in Connecticut (license number 4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023536463.

Contact Information

	Ebony N Wilson, LPC, LADC
	65 Highfield Dr, Torrington, CT 06790-5826
	(860) 626-5002
	Not Available

Healthcare Provider's Profile

Full Name	Ebony N Wilson
Gender	Female
Speciality	Counselor - Professional
Location	65 Highfield Dr, Torrington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023536463
Provider Enumeration Date: 09/06/2017
Last Update Date: 02/02/2021

Medicare PECOS Information:

PECOS PAC ID: 2961846084
Enrollment ID: I20240216002395

Medical Identifiers

Medical identifiers for Ebony N Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023536463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1267 (Connecticut)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	4405 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony N Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebony N Wilson, LPC, LADC 65 Highfield Dr, Torrington, CT 06790-5826 Ph: (860) 626-5002	Ebony N Wilson, LPC, LADC 65 Highfield Dr, Torrington, CT 06790-5826 Ph: (860) 626-5002

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Counselor in Torrington, CT

Paul Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111
Michael Wolftrand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391
Jennie Irene Santa Maria, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391
Mara Pomerantz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391
Regina Wayne, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 New Harwinton Rd, Torrington, CT 06790 Phone: 860-309-7262 Fax: 860-482-0704
Diane S. Ack-mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Peck Rd Ste 2105, Torrington, CT 06790 Phone: 860-361-6204

Ebony N Wilson, LPC, LADC - Medicare Counselor in Torrington, CT