MR. JERRY CLYDE WILSON M.S., L.P.C.
NPI 1750437158
Counselor - Mental Health in Nacogdoches, TX
About Mr. Jerry Clyde Wilson M.s., L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY CLYDE WILSON M.S., L.P.C. (NPI 1750437158) is an individual mental health provider in Nacogdoches, Texas, licensed in Texas (625) and active in the NPI registry since January 2007. He has opted out of Medicare through November 17, 2027.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Jerry Clyde Wilson M.s., L.p.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 17, 2025 through November 17, 2027.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NACOGDOCHES, TX 75965
NACOGDOCHES, TX 75965
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 Jerry Wilson's NPI number?
The NPI number for Jerry Wilson is 1750437158. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Jerry Wilson located?
Jerry Wilson practices at 3516 NE Stallings Dr, Nacogdoches, TX 75965. The listed phone number is (936) 569-6562.
What is Jerry Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jerry Wilson enrolled in Medicare?
No. Jerry Wilson has opted out of Medicare through November 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jerry Wilson accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jerry 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 Jerry Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Jerry Clyde Wilson, M.S., L.P.C. · NPI 1750437158
Mental Health provider in Nacogdoches, Texas. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1750437158 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 625 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3516 NE STALLINGS DR, Nacogdoches, TX 75965-8732
- **Phone:** (936) 569-6562
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 17, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1750437158) · Data from the CMS NPPES public registry.