Wesley Mark Wilson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12840-125 Issued in WI

Practice address

10752 Beal Ave
Hayward, WI 54843-6435

Phone

(715) 533-0736

NPI assigned

Dec 18, 2024

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Counseling Services LTD

  • Counselor
  • Hayward, WI
  • NPI 1124246095
  NPD
• Northland Counseling Services LTD

  • Community/Behavioral Health Agency
  • Hayward, WI
  • NPI 1659544849
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1124835509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1062",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548431062",
            "telephone_number": "715-634-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 BEAL AVE",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436435",
            "telephone_number": "715-533-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WESLEY",
        "middle_name": "MARK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12840-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100305836",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela L. Weber, PT
• Evan Wetzel, DPT
• Matthew Paul Wheeler, MD
• Tamilyn D White, LPC, NCC
• Kay Marie Wilson, RDH
• Janice Wilton, RDH
• Lester Yan, MD
• Andrea Yancey, PA-C
• Melinda Young
• Randy A Young, CADCIII, NCAC II

• Mental Health Counselor in Hayward, WI
• Providers in Hayward, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.