Clayton T Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149026718 Issued in IL

Practice address

2701 N Mildred Ave Apt 3a
Chicago, IL 60614-1407

Phone

(872) 254-4563

NPI assigned

Nov 11, 2022

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

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.

• Clayton Wilson PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1114769403
  NPD Authorized official

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1891403408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N MILDRED AVE APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141407",
            "telephone_number": "872-254-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N MILDRED AVE APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141407",
            "telephone_number": "872-254-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 S Michigan Ave Ste 1450",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606036176",
            "country_code": "US",
            "telephone_number": "312-786-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 N Sheffield Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575084",
            "country_code": "US",
            "telephone_number": "872-254-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CLAYTON",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149026718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie C. Wilson, MD
• Catherine S Wilson, PSY.D
• Charlotte Wilson
• Chris A Wilson, CMT
• Christopher L Wilson
• Courtney Paige Wilson, LCSW
• Courtney S Wilson, LPC
• Danica Edrire Joi Wilson, MD
• Dara Elizabeth Wilson, NP-C
• Davonya Santria Wilson, DNP, APRN, PMHNP-BC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.