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NPISignal

Individual Healthcare Provider

Clarence Carl Wilson, DBH, LPCC

NPI Record: ActiveCounselor — Mental Health
NPI1033496245
Colton, California

Provider's NPPES record last updated: January 11, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1033496245
Primary Specialty
Counselor — Mental Health
Practice Location
Colton, California
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:56 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 101YM0800X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X
  • Counselor

    Professional

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YP2500X

Provider-Reported License Information

Counselor (California)
2784
Counselor (California)
RA8320316
Counselor (Iowa)
074006
Counselor (Missouri)
2011031159
Counselor (California)
2784
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

851 S Mount Vernon Ave Ste 7a

Colton, California 92324-3926

Phone: (760) 241-6044

Record Information

Enumeration Date
November 16, 2011
Provider's NPPES Record Last Updated
January 11, 2024
Certification Date
January 11, 2024
NPISignal NPPES Dataset
August 2026

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