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JERISHA WILSON RCSWI, LMSW
NPI 1538025192
Counselor - Mental Health in Port St Lucie, FL

Active since December 29, 2025
540 NW UNIVERSITY BLVD STE 204, PORT ST LUCIE, FL 34986(772) 494-7770 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerisha Wilson Rcswi, Lmsw NPPES

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

JERISHA WILSON RCSWI, LMSW (NPI 1538025192) is an individual mental health provider in Port St Lucie, Florida, licensed in Florida (13192) and active in the NPI registry since December 2025. She maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1538025192
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJERISHA WILSONCredential: RCSWI, LMSW
Location Address540 NW UNIVERSITY BLVD STE 204Port St Lucie, FL 34986-2281
Mailing Address2350 Phillips Rd Apt 1106Tallahassee, FL 32308-5346 · (772) 494-7770
Phone(772) 494-7770
Sole ProprietorYes
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1538025192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 13192
540 NW UNIVERSITY BLVD STE 204, Port St Lucie, FL 34986
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Secondary Practice Location 1

Location 12350 Phillips Rd Apt 1106Tallahassee, FL 32308-5346 · Phone (423) 463-9269

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

CAMILLE ROUSSEAU
Counselor (Mental Health)
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986
St. Lucie County (772) 494-7770
LISA RYMER MSW, MBA
Social Worker (Clinical)
540 NW UNIVERSITY BLVD STE 204
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 696-2729
SEAN MITCHELL JOSIAH HOLMAN
Counselor (Mental Health)
540 NW UNIVERSITY BLVD STE 204
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 494-7770
YASMIN HILL-SUKIE
Social Worker (Clinical)
540 NW UNIVERSITY BLVD STE 204
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 494-7770
JENELLA JENESE BROWN MCAP, RMHCI
Counselor (Addiction (Substance Use Disorder))
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986
St. Lucie County (772) 494-7770
MISS MICKIA TICRE BLAKE
Counselor (Mental Health)
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986
St. Lucie County (561) 216-5711
SABRINA HERNANDEZ
Social Worker (Clinical)
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986
St. Lucie County (772) 494-7770

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 Jerisha Wilson's NPI number?

The NPI number for Jerisha Wilson is 1538025192. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Jerisha Wilson located?

Jerisha Wilson practices at 540 NW University Blvd Ste 204, Port St Lucie, FL 34986. The listed phone number is (772) 494-7770.

What is Jerisha Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerisha Wilson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.