Dierdre Rylene Wilson, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0190311 Issued in NM

Practice address

4343 Pan American Fwy NE Ste 221
Albuquerque, NM 87107-6834

Phone

(505) 421-0814

NPI assigned

Jun 29, 2010

Last updated

May 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Fox Wellness LLCGroup PAC ID 8022539188, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Fox Wellness LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1437740511
  Medicare reassignment Care Compare group NPD Authorized official
• Walsh Counseling Services LLC

  • Home Health Agency
  • Albuquerque, NM
  • NPI 1104398114
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1568773190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 221",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-421-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 221",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-421-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DIERDRE",
        "middle_name": "RYLENE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0190311",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0162741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla S Wilson, MD, PHD
• Cassandra Wilson
• Christopher Gehrig Wilson, M.D.
• Christopher Robert Wilson Jr., PHARMD
• Devin Wilson
• Frazier Clethon Wilson Jr., LISW, LADAC
• Glen P Wilson, M.D.
• Jaron Wilson
• Jason Wilson, MD
• Jennifer Wilson

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.