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Active NPI 1568258796 Individual Practitioner Male Practitioner

Thomas Alvin Wilson , PSS

Peer Specialist • Medford, OR

Professional Overview & Biography Verified Profile Summary

Thomas Wilson, PSS is a registered healthcare professional specializing in Peer Specialist in Medford, OR. Practice services are available at 300 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 W Main St

Medford, OR 975012756

Telephone 5417721777
Associated Practice Facility / Clinic
🏢 Ontrack, Inc. Facility NPI 1881685097

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Medford, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
195 Specialists

Practicing in Medford, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-04-15
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 24-CRM-3633

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Shoshanna Lane

Counselor - Mental Health

NPI 1003322553
Brenda Palomera

Counselor - Addiction (Substance Use Disorder)

NPI 1003453168
Dominick Lucia , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1023638558

CADCII

Josue Guerrero , CADC-R

Counselor - Addiction (Substance Use Disorder)

NPI 1023680717

CADCR

Cody Dollarhide

Counselor - Addiction (Substance Use Disorder)

NPI 1023870177
William Camp , LSCSW

Counselor - Mental Health

NPI 1033216346

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 15, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2025

Registered at 300 W MAIN ST, MEDFORD, OR 975012756 (Tel: 5417721777)

📍
Updated Business Mailing Address April 15, 2025

Registered at 300 W MAIN ST, MEDFORD, OR 975012756 (Tel: 5417721777)

👤
Provider Name / Credentials Updated April 15, 2025

Recorded as THOMAS WILSON, PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2025

Peer Specialist (License #24-CRM-3633 in OR)

🟢
Initial NPI Registration & Enumeration April 15, 2025

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: 1568258796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2025
Last Update: April 15, 2025
Sole Proprietor: No

Mailing Address

300 W Main St

Medford, OR 975012756

Phone: 5417721777

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.