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

Mrs. Jacquelin D Wilson, LPC

Individual provider Professional Counselor · NPI 1437505021

Mrs. Jacquelin D Wilson, LPC is a Mental Health Counselor in Macon, Georgia. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

144 Pierce Ave
Macon, GA 31204-2860
Phone: (478) 475-4608
Fax: (478) 476-8397
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC008703 (GA)

Record details

NPI number1437505021
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 12, 2016
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address717 North Avenue, Macon, GA 31211-1418

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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