Yvonne Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011576 Issued in MI

Practice address

19306 Ecorse Rd Ste 102
Allen Park, MI 48101-2262

Phone

(313) 333-0916

NPI assigned

Oct 25, 2011

Sex

Female

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

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.yvonnewilson@150339.advancedmd-direct.com
• Direct secure messaging: purepsychiatryofmichigan.yvonnewilson@153418.advancedmd-direct.com

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.

• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment Care Compare group NPD
• On Earth Project

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Livonia, MI
  • NPI 1154892784
  Medicare reassignment NPD
• Wilson Therapeutic Solutions LLC

  • Mental Health Counselor
  • Allen Park, MI
  • NPI 1609711126
  NPD Authorized official
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130

  Professional

  NPD

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1831475680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19306 ECORSE RD STE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012262",
            "telephone_number": "313-333-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19306 ECORSE RD STE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012262",
            "telephone_number": "313-333-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "YVONNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831475680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Wayne Family Physicians, PLC
• Shelby Lynn Wilkie
• Willowsage Counseling
• Wilson Therapeutic Solutions LLC
• Angela Wilson, PTA
• Woodward Detroit CVS LLC
• Woodward Detroit CVS, L.L.C.
• Wyandotte Physician Practices
• Samantha Victoria Wydryck
• Monica Yalamanchili, DPT

• Professional Counselor in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.