MS. DIANE M. WILSON (M.ED.) – Mental Health Counselor, NPI 1184141632

MS. DIANE M. WILSON (M.ED.) is a healthcare provider. based in Gardner, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED.. The NPI Number for MS. DIANE M. WILSON (M.ED.) is 1184141632

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. DIANE M. WILSON (M.ED.)
NPI
1184141632
Phone
(978) 630-4918
Address
205 SCHOOL ST. #202
Enumeration Date
25 August 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084596400
Graduation Year
2018 (8 years ago)
PAC ID
2264874874
Group Practice PAC ID
9638190374
Professional Enrollment ID
I20240529000834
Address ID
MA016062738WO135XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

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Provider Addresses for MS. DIANE M. WILSON (M.ED.)

  • 202, School Street, Gardner, Worcester County, Massachusetts, 01440, United States

    GARDNER, MA 01440

    Phone: (978) 630-4918

    Fax: (978) 630-3049

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240529000834IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 01440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638190374View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
P S Y C H I A T R YMA
Clinical PsychologistMA
Clinical PsychologistAK
Nurse PractitionerMA
P S Y C H I A T R YMA
Marriage And Family TherapistMA
Nurse PractitionerRI
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I verify MS. DIANE M. WILSON (M.ED.) with an NPI only?
You can start verification with NPI 1184141632 for MS. DIANE M. WILSON (M.ED.), then check state licensing separately.
Can I rely on MS. DIANE M. WILSON (M.ED.) being an active provider?
As of the registry snapshot, MS. DIANE M. WILSON (M.ED.) is marked active.
What taxonomy line describes MS. DIANE M. WILSON (M.ED.)?
For research purposes, treat MS. DIANE M. WILSON (M.ED.) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. DIANE M. WILSON (M.ED.) serve?
MS. DIANE M. WILSON (M.ED.)'s listing highlights Gardner, Massachusetts; more addresses can appear in NPPES.
Is the information about MS. DIANE M. WILSON (M.ED.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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