Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114348729 Individual Practitioner Male Practitioner

Derek James Wilson , LPC

Counselor - Professional • Windsor, CT

Professional Overview & Biography Verified Profile Summary

Derek Wilson, LPC is a registered healthcare professional specializing in Counselor - Professional in Windsor, CT. Practice services are available at 360 BLOOMFIELD AVE STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

360 Bloomfield Ave Ste 301

Windsor, CT 060952700

Telephone 8604713819
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Windsor, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Windsor, CT (2870 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CT 003206

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Secondary Practice Locations

50 Brookside Rd

Waterbury, CT 067081402

Phone: 2037554490

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kaitlin Schmidt , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003359738

Nurse Practitioner (Certified)

Melissa Nolan

Behavior Technician

NPI 1003531575
Niyati Dave

Behavior Technician

NPI 1003602269
Alexandria Torres

Behavior Technician

NPI 1003619479
Heather Pratt

Behavior Technician

NPI 1003768060
Tatiana Lopez

Behavior Analyst

NPI 1003799610

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 02, 2018

Registered at 360 BLOOMFIELD AVE STE 301, WINDSOR, CT 060952700 (Tel: 8604713819)

📍
Updated Business Mailing Address October 02, 2018

Registered at 260 CARRIAGE CROSSING LN, MIDDLETOWN, CT 064575864 (Tel: 8604713819)

👤
Provider Name / Credentials Updated October 02, 2018

Recorded as DEREK WILSON, LPC

NPI Profile Active December 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2013

Registered at 50 BROOKSIDE RD, WATERBURY, CT 067081402 (Tel: 2037554490)

📍
Updated Business Mailing Address December 27, 2013

Registered at 50 BROOKSIDE RD, WATERBURY, CT 067081402 (Tel: 2037554490)

👤
Provider Name / Credentials Updated December 27, 2013

Recorded as DEREK WILSON, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2013

Counselor

🟢
Initial NPI Registration & Enumeration December 27, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114348729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2013
Last Update: October 02, 2018
Sole Proprietor: No

Mailing Address

260 Carriage Crossing Ln

Middletown, CT 064575864

Phone: 8604713819

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.