Tracy Lynn Wilson, LLP, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401006865 Issued in MI

Practice address

181 W Michigan Ave
Suite 3
Paw Paw, MI 49079-1432

Phone

(269) 657-6025

Fax

(269) 657-5198

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Mapleview Consultation Center PC

  • Clinical Social Worker
  • Paw Paw, MI
  • NPI 1619022027

  Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710082243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791432",
            "telephone_number": "269-657-6025",
            "fax_number": "269-657-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MICHIGAN AVE",
            "address_2": "SUITE 3",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791432",
            "telephone_number": "269-657-6025",
            "fax_number": "269-657-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LLP, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006865",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Leigh Wilkinson, PT
• Marissa Dawn William
• Joey Lois Williams
• Stephanie Williams, LPC
• Makena Raye Wilson, LLMSW
• Rebecca Ann Winger, MA QBHP
• Jacob Allen Wolfzorn, LLPC
• Nicole Wolvin
• Mariah K Woods
• Susan Elizabeth Wright, NP, CNM

• Mental Health Counselor in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.