BEVERLY J WILSON (LPC) – Addiction (Substance Use Disorder) Counselor, NPI 1528112448

BEVERLY J WILSON (LPC) is a healthcare provider. based in Janesville, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 660 (WI). The NPI Number for BEVERLY J WILSON (LPC) is 1528112448

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY J WILSON (LPC)
NPI
1528112448
Phone
(608) 756-5555
Address
113 S FRANKLIN ST
Enumeration Date
22 January 2007
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087543814
Graduation Year
2000 (26 years ago)
PAC ID
3173962537
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20240417003583
Address ID
WI535482970JA903XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for BEVERLY J WILSON (LPC)

  • 113, South Franklin Street, Janesville, Rock County, Wisconsin, 53548, United States

    JANESVILLE, WI 535483812

    Phone: (608) 756-5555

    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: 2024-04-17

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
I20240417003583IMental Health CounselorWITBD

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 53548)

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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: 7416860440View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BEVERLY J WILSON (LPC) for billing?
Administrative and clinical systems typically use NPI 1528112448 for BEVERLY J WILSON (LPC).
Is BEVERLY J WILSON (LPC)'s NPI status active today?
Active status means BEVERLY J WILSON (LPC)'s NPI record is not deactivated in the public file.
How should patients interpret BEVERLY J WILSON (LPC)'s specialty?
The extract shows Addiction (Substance Use Disorder) Counselor for BEVERLY J WILSON (LPC). Clinical services aligned with this taxonomy classification.
Is BEVERLY J WILSON (LPC) tied to Janesville, Wisconsin?
If you are local to Janesville, Wisconsin, BEVERLY J WILSON (LPC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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