JENNIFER DENETTE WILSON LPC
NPI 1801515960
Counselor - Professional in Savannah, GA

Q: What is Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1801515960. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Q: What is Jennifer 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 Jennifer Wilson was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 23, 2022PECOS EnrolledAccepts Medicare Assignment

6555 ABERCORN ST STE 221, SAVANNAH, GA 31405(912) 200-9818(912) 200-9819 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2023, Aug 23, 2022 (2 updates tracked since 2022).

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About Jennifer Denette Wilson Lpc NPPES

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

JENNIFER DENETTE WILSON LPC (NPI 1801515960) is an individual professional provider in Savannah, Georgia, licensed in Georgia (LPC013143) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801515960

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER DENETTE WILSONCredential: LPC

Location Address6555 ABERCORN ST STE 221Savannah, GA 31405-5714

Mailing Address87 Roseberry CirPort Wentworth, GA 31407-5612 · (912) 658-5806

Phone(912) 200-9818

Fax(912) 200-9819

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 23, 2022

Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1801515960 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 GA · LPC013143

6555 ABERCORN ST STE 221, Savannah, GA 31405

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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 and accepts Medicare assignment

Jennifer Denette Wilson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385171990

PECOS Enrollment IDI20241220001029

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 7

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

DENISE SALTERS

Case Manager/Care Coordinator