JACKALYNN LEE WILSON
NPI 1659923209
Counselor - Professional in Old Forge, PA

Active since July 14, 2019
118 AMITY AVE, OLD FORGE, PA 18518(570) 905-0669 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Feb 1, 2022, Dec 14, 2020 and 1 more (4 updates tracked since 2019).

About Jackalynn Lee Wilson NPPES

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

JACKALYNN LEE WILSON (NPI 1659923209) is an individual professional provider in Old Forge, Pennsylvania, licensed in Pennsylvania (PC011549) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1659923209
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKALYNN LEE WILSON
Location Address118 AMITY AVEOld Forge, PA 18518-1019
Mailing Address118 Amity AveOld Forge, PA 18518-1019 · (570) 905-0669
Sole ProprietorYes
Enumeration DateJuly 14, 2019
Last NPPES UpdateFebruary 17, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1659923209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC011549
118 AMITY AVE, Old Forge, PA 18518

Accepted 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.

Counselor (Professional)
118 AMITY AVE
OLD FORGE, PA 18518

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 Jackalynn Wilson's NPI number?

The NPI number for Jackalynn Wilson is 1659923209. It was assigned to this individual provider in the NPPES registry on July 14, 2019.

Where is Jackalynn Wilson located?

Jackalynn Wilson practices at 118 Amity Ave, Old Forge, PA 18518. The listed phone number is (570) 905-0669.

What is Jackalynn Wilson's specialty?

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

What insurance does Jackalynn Wilson accept?

Health plans from Providence Health Plan list Jackalynn 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 Jackalynn Wilson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.