IndividualActive
Deitra Wilson
NPI 1700697919 · Mental Health Counselor · Beachwood, OH
Deitra Wilson is a Mental Health Counselor provider in Beachwood, OH (NPI 1700697919).
Provider details
- NPI number
- 1700697919
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- C.2406416-TRNE (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
24100 Chargin Blvd
Suite 250
Beachwood, OH 44122
Phone: (440) 343-8069
Fax: (440) 264-1990
Street-level locationGet directions
Mailing address
24100 Chargin Blvd
Beachwood, OH 44122
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-01-16
- Certified
- 2025-01-14
Frequently asked questions
- What is Deitra Wilson's NPI number?
- Deitra Wilson's National Provider Identifier (NPI) is 1700697919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deitra Wilson's specialty?
- Deitra Wilson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Deitra Wilson located?
- Deitra Wilson's practice location on file with NPPES is 24100 Chargin Blvd, Beachwood, OH 44122.
- What is Deitra Wilson's phone number?
- The practice phone number listed in the NPPES registry for Deitra Wilson is (440) 343-8069.
- Is Deitra Wilson's NPI active?
- Yes — Deitra Wilson's NPI (1700697919) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.