NATHAN WILSON – Mental Health Counselor, NPI 1477643138

NATHAN WILSON is a healthcare provider. based in Xenia, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E0002447 (OH). The NPI Number for NATHAN WILSON is 1477643138

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN WILSON
NPI
1477643138
Phone
(937) 376-8700
Address
452 W MARKET ST
Enumeration Date
13 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9373768700
Graduation Year
1996 (30 years ago)
PAC ID
6709884265
Group Practice PAC ID
8224011135
Professional Enrollment ID
I20240125003028
Address ID
OH453852815XE452XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for NATHAN WILSON

  • 452, West Market Street, Waterstreet Historic District, Xenia, Greene County, Ohio, 45385, United States

    XENIA, OH 453852815

    Phone: (937) 376-8700

    Fax: (937) 376-8725

    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: 2024-01-25

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
I20240125003028IMental Health CounselorOHTBD

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 45385)

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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: 8224011135View full group profile
NameSpecialtyState
-OH
P S Y C H I A T R YOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Family PracticeOH
Clinical Social WorkerOH
P S Y C H I A T R YOH
Mental Health CounselorOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference NATHAN WILSON?
For NATHAN WILSON, use NPI 1477643138 as the unique 10-digit identifier.
Active or inactive — what applies to NATHAN WILSON?
You should see NATHAN WILSON as active in CMS-hosted NPPES data.
What kind of doctor is NATHAN WILSON?
NATHAN WILSON is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with NATHAN WILSON?
Directory geography for NATHAN WILSON centers on Xenia, Ohio.
Does NATHAN WILSON accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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