Clifford Wilson, LCMHC
NPI 1912173956 · Mental Health Counselor · Mooresville, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clifford Wilson, LCMHC is a Mental Health Counselor provider in Mooresville, NC (NPI 1912173956).
Provider details
- NPI number
- 1912173956
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6847 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 276 Old Mocksville Rd Ste 100Statesville, NC 28625-1951Phone: (704) 360-3637Fax: (704) 200-9829
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Frequently asked questions
- What is Clifford Wilson's NPI number?
- Clifford Wilson's National Provider Identifier (NPI) is 1912173956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clifford Wilson's specialty?
- Clifford Wilson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Clifford Wilson located?
- Clifford Wilson's practice location on file with NPPES is 122 Gateway Blvd Ste C, Mooresville, NC 28117-5544.
- What is Clifford Wilson's phone number?
- The practice phone number listed in the NPPES registry for Clifford Wilson is (704) 360-3637.
- Does Clifford Wilson accept Medicare?
- Clifford Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clifford Wilson's NPI active?
- Yes — Clifford Wilson's NPI (1912173956) is active in the NPPES registry as of the last update on 2024-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.