Tammy Sue Wilson
NPI 1174255830ActiveOrganization· Counselor, Professional· Port Huron, MI
Counselor, Professional in Port Huron, Michigan, registered in NPPES in June 2022. The authorized official on file is Tammy Sue Wilson, LPC, NCC, RPT, ICST, Owner/Manager.
Overview
| NPI | 1174255830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2022 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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