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Dwilson Counseling, Pllc

Dwilson Counseling, Pllc is a healthcare organization registered as Professional Counselor in O Fallon, IL, holding Type 2 (organization) NPI 1053106633 since 2025. The authorized official on file is Dominique Wilson, Owner.

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NPI 1053106633
Entity type Organization (Type 2)
Legal business name Dwilson Counseling, Pllc
Practice address 640 PIERCE BLVD STE 200, O Fallon, IL, 62269
Phone 6184062490
Enumeration date 2025-04-14
Last updated in NPPES 2025-04-14

Authorized official

Name Dominique Wilson
Title Owner
Phone 6184062490

Taxonomy & classification

Taxonomy code Specialty Primary License State
251S00000X Community/Behavioral Health Agency Secondary
261QM0850X Adult Mental Health Clinic/Center Secondary
101YP2500X Professional Counselor Primary
Copy-ready billing details
Provider: Dwilson Counseling, Pllc
NPI: 1053106633
Taxonomy: 101YP2500X (Professional Counselor)
Address: 640 PIERCE BLVD STE 200, O Fallon, IL, 62269

Providers at this address

NPI Name Type Specialty Location
1609867712 Steve Heitkamp Individual Professional Counselor O Fallon, IL
1417100504 Kimberly Stevens Individual Clinical Social Worker O Fallon, IL
1568009991 Trifecta Counseling LLC Organization Clinical Social Worker O Fallon, IL
1366288037 Angela Smith Individual Professional Counselor O Fallon, IL
1457201253 Dwilson Counseling, Pllc Organization Mental Health Counselor O Fallon, IL

Verify this record

Cross-check NPI 1053106633 against the authoritative CMS record: view Dwilson Counseling, Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Dwilson Counseling, Pllc?
NPPES lists Dominique Wilson (Owner) as the authorized official for this organization.
What is the NPI number for Dwilson Counseling, Pllc?
The NPI for Dwilson Counseling, Pllc is 1053106633, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-14.