Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Martin Wilson

Individual provider Marriage & Family Therapist · NPI 1700434636

Benjamin Martin Wilson is a Marriage and Family Therapist in Louisville, Kentucky. Qualified in 2019, 7 years ago. Practices with Renew Counseling LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
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Practice location Address checks out

4010 Dupont Cir Ste 582
Louisville, KY 40207-4888
Phone: (502) 899-5411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 248552 (KY)

Record details

NPI number1700434636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Renew Counseling Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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