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

Nickie Deann Wilson, LADC/MH

Individual provider Case Manager/Care Coordinator · NPI 1891147245

Nickie Deann Wilson, LADC/MH is a Mental Health Counselor in Claremore, Oklahoma. Qualified in 2016, 10 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3100 Medical Pkwy
Claremore, OK 74017-1088
Phone: (918) 342-0770
Fax: (918) 342-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1345 (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1891147245
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC/MH
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Claremore