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

Jessica Wilson, LPC/MHSP, NCC

Individual provider Counselor · NPI 1669061446

Jessica Wilson, LPC/MHSP, NCC is a Mental Health Counselor in Springfield, Tennessee. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

719 S Main St Unit 105
Springfield, TN 37172-2809
Phone: (615) 504-3349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6175 (TN)
Counselor Taxonomy 101Y00000X · Licence 6175 (TN)

Record details

NPI number1669061446
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC/MHSP , NCC
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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