Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063167997 Individual Practitioner Female Practitioner

Corbin A Wilson , MS, LPC

Counselor - Professional • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Corbin Wilson, MS, LPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, MO. Practice services are available at 630 W KEARNEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 W Kearney St

Springfield, MO 658032508

Telephone 4177615000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
664 Specialists

Practicing in Springfield, MO (5929 Statewide)

Telehealth Adoption Rate
2.3% 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

CMS Verified: 2026-04-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2022017697

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jayaprabha Lafontaine , MD

Psychiatry & Neurology - Psychiatry

NPI 1003257833

Doctor of Medicine (M.D.)

Allison Robertson , MSW, LCSW

Social Worker - Clinical

NPI 1003505579

Master of Social Work, Licensed Clinical Social Worker

Jessica Aldrich , LMSW

Social Worker - Clinical

NPI 1003636150

Licensed Master Social Worker

Dr. Charles Thomas , MD

Psychiatry & Neurology - Psychiatry

NPI 1003812074

Doctor of Medicine (M.D.)

Deirdra Harris , MS, LPC

Counselor - Professional

NPI 1013207158

Master of Science, Licensed Professional Counselor

Michael Cotter , MS, LPC

Counselor - Professional

NPI 1013427657

Master of Science, Licensed Professional Counselor

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 22, 2026

Registered at 630 W KEARNEY ST, SPRINGFIELD, MO 658032508 (Tel: 4177615000)

📍
Updated Business Mailing Address April 22, 2026

Registered at 2885 W BATTLEFIELD ST, SPRINGFIELD, MO 658073952 (Tel: 4177615000)

👤
Provider Name / Credentials Updated August 27, 2024

Recorded as CORBIN WILSON, MS, LPC

👤
Provider Name / Credentials Updated May 15, 2024

Recorded as CORBIN WILSON, MS, PLPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2022

Counselor (License #2022017697 in MO)

NPI Profile Active February 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2022

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

📍
Updated Business Mailing Address February 18, 2022

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

👤
Provider Name / Credentials Updated February 18, 2022

Recorded as CORBIN WILSON, PLPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2022

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration February 18, 2022

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: 1063167997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2022
Last Update: April 22, 2026
Sole Proprietor: No

Mailing Address

2885 W Battlefield St

Springfield, MO 658073952

Phone: 4177615000

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.