Jerry Wilson
NPI 1962731786 · Addiction (Substance Use Disorder) Counselor · Shiprock, NM
Jerry Wilson is a Addiction (Substance Use Disorder) Counselor provider in Shiprock, NM (NPI 1962731786).
Provider details
- NPI number
- 1962731786
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0122591 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2009-12-08
Frequently asked questions
- What is Jerry Wilson's NPI number?
- Jerry Wilson's National Provider Identifier (NPI) is 1962731786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Wilson's specialty?
- Jerry Wilson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Wilson located?
- Jerry Wilson's practice location on file with NPPES is Hwy 491 N. Pinon St., Shiprock, NM 87420-1830.
- What is Jerry Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jerry Wilson is (505) 368-1050.
- Is Jerry Wilson's NPI active?
- Yes — Jerry Wilson's NPI (1962731786) is active in the NPPES registry as of the last update on 2009-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.