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

MS. Jancey Shellnutt Wilson, LPC

Individual provider Professional Counselor · NPI 1053854349

MS. Jancey Shellnutt Wilson, LPC is a Mental Health Counselor in Thomaston, Georgia. Qualified in 2011, 15 years ago. Practices with McIntosh Trail Community Service Board, a 19-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
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

124 Tyler Ln
Thomaston, GA 30286-1454
Phone: (706) 647-7718
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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 LPC008331 (GA)

Record details

NPI number1053854349
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice McIntosh Trail Community Service Board — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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