SHANDRA WILSON LPC
NPI 1285043968
Counselor - Professional in Jackson, MS

Q: What is Shandra Wilson's NPI number?

The NPI number for Shandra Wilson is 1285043968. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Q: What is Shandra Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shandra Wilson was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since August 07, 2014

4500 I 55 N STE 223, JACKSON, MS 39211(337) 764-2065 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2020, Dec 28, 2015 (2 updates tracked since 2015).

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About Shandra Wilson Lpc NPPES

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

SHANDRA WILSON LPC (NPI 1285043968) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (1835) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1285043968

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHANDRA WILSONCredential: LPC

Location Address4500 I 55 N STE 223Jackson, MS 39211-5931

Mailing Address610 E Leake StClinton, MS 39056-4321 · (337) 764-2065

Phone(337) 764-2065

Sole ProprietorYes

Enumeration DateAugust 7, 2014

Last NPPES UpdateNovember 13, 20202 updates tracked since enumeration

NPPES CertifiedNovember 13, 2020

✔ NPI 1285043968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MS · 1835✔ Licensed in LA · 4151✔ Licensed in TX · 70098

4500 I 55 N STE 223, Jackson, MS 39211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

RESTORE COUNSELING AND CONSULTING SERVICES

Counselor (Professional)

4500 I 55 N STE 223
JACKSON, MS 39211

Hinds County (601) 214-7464

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 Shandra Wilson's NPI number?

The NPI number for Shandra Wilson is 1285043968. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Shandra Wilson located?

Shandra Wilson practices at 4500 I 55 N Ste 223, Jackson, MS 39211. The listed phone number is (337) 764-2065.

What is Shandra Wilson's specialty?

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

What insurance does Shandra Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Shandra Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shandra Wilson was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.