Kevin A. Wilson, CRPA-P

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CRPA-P-8736 Issued in NY

Practice address

500 Whitesboro St
Utica, NY 13502-3015

Phone

(315) 607-2115

Fax

(315) 607-2115

NPI assigned

Aug 21, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Helio Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • Syracuse, NY
  • NPI 1609892280
  NPD (past)
• Insight House Chemical Dependency Services Inc

  • Public Health or Welfare Agency
  • Utica, NY
  • NPI 1235110404
  NPD (past)

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1841177623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-724-5168",
            "fax_number": "315-724-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-607-2115",
            "fax_number": "315-607-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEVIN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "CRPA-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-P-8736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Williamson
• Jessica Willies, LMSW
• Sara Willis, MS, CCC-SLP
• Celeste Edana Wilson-Ramseur, LPN
• Afia Marie Wilson, MD
• Zev Samuel Wimpfheimer, MD
• Shwe Win, MD
• Brittie Wintle, FNP
• Catherine Ann Wintle, NP
• Mesa Sage Wisdom

• Peer Specialist in Utica, NY
• Providers in Utica, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.