Organization Active NPI

Wilson Mental Health, PLLC

  • Professional Counselor
  • Springfield, TN
National Provider Identifier
1114728177
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WILSON MENTAL HEALTH, PLLC
Practice address
719 S Main St
Springfield, TN 37172-2809
Phone
(615) 504-3349
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Wilson, LPC/MHSPNPI 1669061446
Title
Licensed Counselor
Phone
(615) 504-3349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

719 S Main St
Springfield, TN 37172-2809

Mailing address

11192 Owens Chapel Rd
Springfield, TN 37172-6540
Phone (615) 504-3349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317004060 TN Part B Supplier - Clinic/Group Practice 7214411362 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, TN

National Provider Directory

National Provider Directory

Locations

719 S Main St
Springfield, TN 37172
Phone (615) 382-7979

719 S Main St
Unit 105
Springfield, TN 37172
Phone (615) 504-3349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1114728177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11192 OWENS CHAPEL RD",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371726540",
            "telephone_number": "615-504-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S MAIN ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722809",
            "telephone_number": "615-504-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "615-504-3349",
        "authorized_official_credential": "LPC/MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.