Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenise Delores Wilson, MS, LPCC

Individual provider Mental Health Counselor · NPI 1063934230

Jenise Delores Wilson, MS, LPCC is a Mental Health Counselor in Bismarck, North Dakota. Qualified in 2020, 6 years ago. Practices with Trauma and Attachment Institute LLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Licensed in
ND
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1110 College Dr Ste 206
Bismarck, ND 58501-1207
Phone: (701) 258-2008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 786-6-1-14-293 (ND)
Mental Health Counselor Taxonomy 101YM0800X · Licence 786-6-1-14 (ND)

Record details

NPI number1063934230
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCC
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Trauma And Attachment Institute Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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