JEROME WILSON
NPI 1922648674
Counselor - Professional in Thibodaux, LA

Active since January 10, 2020
100 DIPLOMAT WAY, THIBODAUX, LA 70301(985) 316-6483 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerome Wilson NPPES

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

JEROME WILSON (NPI 1922648674) is an individual professional provider in Thibodaux, Louisiana and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1922648674
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEROME WILSON
Location Address100 DIPLOMAT WAYThibodaux, LA 70301-4314
Mailing Address100 Diplomat WayThibodaux, LA 70301-4314 · (985) 316-6483
Sole ProprietorYes
Enumeration DateJanuary 10, 2020
NPI 1922648674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 38-3949990 (LA)
100 DIPLOMAT WAY, Thibodaux, LA 70301

Other Names 1

Other Name (5)Mr. Jerome Wilson

Other Providers at the Same Location NPPES

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

Home Health
100 DIPLOMAT WAY
THIBODAUX, LA 70301

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 Jerome Wilson's NPI number?

The NPI number for Jerome Wilson is 1922648674. It was assigned to this individual provider in the NPPES registry on January 10, 2020. The provider is also known as Mr. Jerome Wilson.

Where is Jerome Wilson located?

Jerome Wilson practices at 100 Diplomat Way, Thibodaux, LA 70301. The listed phone number is (985) 316-6483.

What is Jerome Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerome Wilson was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.