Active NPIIndividual provider

Mr. Kevin Wilson, LAC

Counselor, Mental Health in Wall Township, New Jersey

NPI Number1528861069
Practice location
1350 Campus Pkwy Ste 101, Wall Township, NJ 07753-6841
Fax
—
Last updated
March 31, 2025

Kevin Wilson is a Counselor, Mental Health based in Wall Township, NJ. Kevin Wilson practices in Wall Township, NJ and has the professional credentials of LAC. The NPI Number for Kevin Wilson is 1528861069 and holds a License No. 37AC00772000 (NJ). The current practice location address for Kevin Wilson is 1350 Campus Pkwy Ste 101, Wall Township, NJ 07753-6841 and can be reached out via phone at 732-924-5589.

Provider Profile Details

NPI Number
1528861069
Provider Name
Kevin Wilson
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
1350 Campus Pkwy Ste 101, Wall Township, NJ 07753-6841
Phone Number
732-924-5589
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2025
Last Update Date
March 31, 2025
Certification Date
March 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1350 Campus Pkwy Ste 101
Wall Township, NJ 07753-6841
Zip
07753-6841
Phone Number
732-924-5589
Wall Township, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
25 Bretonian Dr
Brick, NJ 08723-5763
City
Brick
State
NJ
Zip
08723-5763
Phone Number
732-678-3505

License Information

License Number
37AC00772000
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin Wilson, LAC?

The NPI number of Mr. Kevin Wilson, LAC is 1528861069. It was assigned on March 31, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin Wilson, LAC?

Mr. Kevin Wilson, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00772000.

Where does Mr. Kevin Wilson, LAC practice?

The practice location is 1350 Campus Pkwy Ste 101, Wall Township, NJ 07753-6841. The office can be reached at 732-924-5589 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528861069 directly on the NPPES registry website.

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