Mr Derek James Wilson, LPC - Counselor in Windsor, CT

Mr Derek James Wilson, LPC is a Counselor - Professional based in Windsor, Connecticut. Mr Derek James Wilson is licensed to practice in Connecticut (license number 003206) and his current practice location is 360 Bloomfield Ave Ste 301, Windsor, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 471-3819.

NPI number for Mr Derek James Wilson is 1114348729 and his current mailing address is 260 Carriage Crossing Ln, Middletown, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114348729.

Contact Information

Mr Derek James Wilson, LPC
360 Bloomfield Ave Ste 301,
Windsor, CT 06095-2700
(860) 471-3819
Not Available

Healthcare Provider's Profile

Full NameMr Derek James Wilson
GenderMale
SpecialityCounselor - Professional
Location360 Bloomfield Ave Ste 301, Windsor, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114348729
  • Provider Enumeration Date: 12/27/2013
  • Last Update Date: 10/02/2018

Medical Identifiers

Medical identifiers for Mr Derek James Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114348729NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
101YP2500XCounselor - Professional 003206 (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. Mr Derek James Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Derek James Wilson, LPC
260 Carriage Crossing Ln,
Middletown, CT 06457-5864

Ph: (860) 471-3819
Mr Derek James Wilson, LPC
360 Bloomfield Ave Ste 301,
Windsor, CT 06095-2700

Ph: (860) 471-3819

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› Verified 9 days ago


Counselor in Windsor, CT

Brittany Bauer,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 995 Day Hill Rd, Windsor, CT 06095
Phone: 860-697-3351    Fax: 860-731-5536
Destiny Grant,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 995 Day Hill Rd, Windsor, CT 06095
Phone: 860-731-5522    Fax: 860-731-5536
Joyce A Erickson, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1343 Hillside Cir, Windsor, CT 06095
Phone: 860-707-9438    
Nardine Staroverov,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 32 Maple Ave Ste C, Windsor, CT 06095
Phone: 860-593-4908    
Valerie Barrett-noel,
Counselor
Medicare: Medicare Enrolled
Practice Location: 600 W Wolcott Ave, Windsor, CT 06095
Phone: 860-794-0652    
Antonette Bailey,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 995 Day Hill Rd, Windsor, CT 06095
Phone: 860-731-5522    Fax: 860-731-5536
Mrs. Rosanna Z Wilson, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1 Kellogg St, Windsor, CT 06095
Phone: 860-219-1029    

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