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

Jordan Dare Wilson, LPC

Individual provider Mental Health Counselor · NPI 1194542944

Jordan Dare Wilson, LPC is a Mental Health Counselor in Ruckersville, Virginia. Qualified in 2019, 7 years ago. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

8767 Seminole Trl Ste 101
Ruckersville, VA 22968-3494
Phone: (434) 990-1744
Fax: (434) 939-9401
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701014012 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0701014012 (VA)

Record details

NPI number1194542944
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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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