Charlie Isiah Wilson Jr.
NPI 1538635115ActiveIndividual· Counselor, Professional· Conway, SC
Counselor, Professional in Conway, South Carolina, licensed in SC and GA, with an NPI issued in October 2018. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1538635115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 22, 2018 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 8742 | SC |
| Counselor, Professional | 101YP2500X | LPC016889 | GA |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Mental Health | 101YM0800X | 8742 | SC |
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) | Enrolled Practitioner - Mental Health Counselor (SC) |
|---|
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