What is Fred Wilson's NPI number?

Fred Wilson's National Provider Identifier (NPI) is 1396148623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Fred Wilson's specialty?

Fred Wilson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Fred Wilson located?

Fred Wilson's practice location on file with NPPES is 945 N Liberty St, Jacksonville, FL 32206-5676.

What is Fred Wilson's phone number?

The practice phone number listed in the NPPES registry for Fred Wilson is (904) 238-1240.

Is Fred Wilson's NPI active?

Yes — Fred Wilson's NPI (1396148623) is active in the NPPES registry as of the last update on 2014-10-01.

IndividualActive

Fred Wilson

NPI 1396148623 · Mental Health Counselor · Jacksonville, FL

Fred Wilson is a Mental Health Counselor provider in Jacksonville, FL (NPI 1396148623).

Provider details

NPI number: 1396148623
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(68/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

945 N Liberty St

Apt B219

Jacksonville, FL 32206-5676

Phone: (904) 238-1240

Fax: (904) 358-1551

Street-level locationGet directions

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Mailing address