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

Mrs. Dierdre Rylene Wilson, MA, LPCC

Individual provider Professional Counselor · NPI 1568773190

Mrs. Dierdre Rylene Wilson, MA, LPCC is a Mental Health Counselor in Albuquerque, New Mexico. Qualified in 2013, 13 years ago. Practices with Blue Fox Wellness LLC, a 7-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
13
Licensed in
NM
In the registry since
2010
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts 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

4343 Pan American Fwy NE Ste 221
Albuquerque, NM 87107-6834
Phone: (505) 421-0814
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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 0190311 (NM)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0162741 (NM)

Record details

NPI number1568773190
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Blue Fox Wellness Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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