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JORDAN DARE WILSON LPC
NPI 1194542944
Counselor - Professional in Ruckersville, VA

Active since September 23, 2024PECOS Enrolled
8767 SEMINOLE TRL STE 101, RUCKERSVILLE, VA 22968(434) 990-1744(434) 939-9401 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Dare Wilson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN DARE WILSON LPC (NPI 1194542944) is an individual professional provider in Ruckersville, Virginia, licensed in Virginia (0701014012) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194542944
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN DARE WILSONCredential: LPC
Location Address8767 SEMINOLE TRL STE 101Ruckersville, VA 22968-3494
Mailing Address8767 Seminole Trl Ste 101Ruckersville, VA 22968-3494 · (434) 990-1744 · Fax (434) 939-9401
Phone(434) 990-1744
Fax(434) 939-9401
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1194542944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701014012
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701014012 (VA)
8767 SEMINOLE TRL STE 101, Ruckersville, VA 22968
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Dare Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173094950
PECOS Enrollment IDI20260602003286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK ALLEN DOVE LPC
Counselor (Professional)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
GIANNI HANSEN PHD
Student in an Organized Health Care Education/Training Program
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
KRISTEN MACNEILL KERN LCSW
Social Worker (Clinical)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
SAMANTHA ROBERTS LCSW
Social Worker (Clinical)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
NICOLE DUNN
Counselor (Mental Health)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
AMY KENNEL LPC
Counselor (Professional)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
TABITHA MONIQUE WOODSON LPC
Counselor (Professional)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744
MEAGAN SHEFFLER
Counselor (Mental Health)
8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA 22968
Greene County (434) 990-1744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Wilson's NPI number?

The NPI number for Jordan Wilson is 1194542944. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Jordan Wilson located?

Jordan Wilson practices at 8767 Seminole Trl Ste 101, Ruckersville, VA 22968. The listed phone number is (434) 990-1744.

What is Jordan Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jordan Wilson enrolled in Medicare?

Yes. Jordan Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Wilson was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.