DOMINIQUE MARIE WILSON (MA, LCPC, CRC) – Professional Counselor, NPI 1407345192

DOMINIQUE MARIE WILSON (MA, LCPC, CRC) is a healthcare provider. based in O fallon, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LCPC, CRC. They hold a License No. CI0365 (NV). The NPI Number for DOMINIQUE MARIE WILSON (MA, LCPC, CRC) is 1407345192

Main info

Female
Sole Proprietor
9 Years Of Experience
Name
DOMINIQUE MARIE WILSON (MA, LCPC, CRC)
NPI
1407345192
Phone
(618) 367-2194
Address
785 WALL ST # 200
Enumeration Date
8 May 2018
Last Update Date
11 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1557845898
Professional Enrollment ID
I20260324003617
Address ID
NV891466235LA3120XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for DOMINIQUE MARIE WILSON (MA, LCPC, CRC)

  • 785 WALL ST # 200

    O FALLON, IL 622691959

    Phone: (618) 367-2194

    Type: Location

  • 3550 W Cheyenne Ave

    North Las Vegas, NV 890328212

    Phone: (702) 570-5421

    Type: Location

  • 1109 HIGH VALLEY LN

    BELLEVILLE, IL 622216846

    Phone: (317) 900-6556

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62269)

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Reviews

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Frequently asked questions

How is DOMINIQUE MARIE WILSON (MA, LCPC, CRC) identified in CMS data?
CMS-hosted NPPES data lists DOMINIQUE MARIE WILSON (MA, LCPC, CRC) with NPI 1407345192.
Is DOMINIQUE MARIE WILSON (MA, LCPC, CRC) still practicing?
DOMINIQUE MARIE WILSON (MA, LCPC, CRC) is currently listed as active in the public NPI registry.
What healthcare role does DOMINIQUE MARIE WILSON (MA, LCPC, CRC) hold?
Scheduling teams often label DOMINIQUE MARIE WILSON (MA, LCPC, CRC) under Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect DOMINIQUE MARIE WILSON (MA, LCPC, CRC) on a map?
Expect O Fallon, Illinois as a primary anchor for DOMINIQUE MARIE WILSON (MA, LCPC, CRC) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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