Dwilson Counseling, PLLC
Counselor, Mental Health in O Fallon, IL. Organization (NPI-2).
NPI number1457201253
StatusActive
Last updated in NPPESJan 30, 2026
Details
- NPI
- 1457201253
- Entity type
- Organization (NPI-2)
- Legal business name
- Dwilson Counseling, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2026
- Certification date
- Jan 30, 2026
- Last updated
- Jan 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
640 Pierce Blvd Ste 200O Fallon, IL 62269-2584
Phone 618-406-2490
Mailing address
8703 Woods End StSan Antonio, TX 78240-3739
Other practice locations
8703 Woods End St
San Antonio, TX 78240-3739
San Antonio, TX 78240-3739
Phone 618-406-2490
Authorized official
Dominique Wilson
Owner
6184062490
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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