Individual provider · Type 1 NPI

Samuel Patrick Wilson

Mental Health Counselor · Denver, CO

NPI number 1245122746 Active

Practice location

2130 Stout St
Denver, CO 80205-2827

Mailing address

2111 Champa St
Denver, CO 80205-2529

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC.0024709 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1245122746

Samuel Patrick Wilson's National Provider Identifier is 1245122746, issued on Jul 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Denver, CO. The record was last updated on Oct 28, 2026.