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

Vande Wilson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043543143

Vande Wilson is a Mental Health Counselor in Clinton, North Carolina. Qualified in 2005, 21 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2009
Specialties on file
3

Practice location Address checks out

312 College St Ste C
Clinton, NC 28328-4181
Phone: (910) 299-0848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2233 Rustic Trl, Fayetteville, NC 28306-3280 — (910) 299-0848

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7604 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2064 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 7604 (NC)

Record details

NPI number1043543143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing addressPo Box 1734, Clinton, NC 28329-1734

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton