Organization Active NPI

Gwen Wilson PLLC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1023806940
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GWEN WILSON PLLC
Practice address
1833 N 105TH St Ste 307
Seattle, WA 98133-8973
Phone
(206) 888-4437
Fax
(206) 203-1979
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Gwendolyn Wilson, LMHCNPI 1255864583
Title
Practice Manager
Phone
(206) 888-4437

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1833 N 105TH St Ste 307
Seattle, WA 98133-8973

Mailing address

1833 N 105TH St Ste 101
Seattle, WA 98133-8973
Phone (206) 888-4437

Other names 1

  • Gwen Wilson Counseling and Art Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514003642 WA Part B Supplier - Clinic/Group Practice 5799203600 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1833 N 105th St
Ste 307
Seattle, WA 98133
Phone (206) 888-4437

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": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1023806940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 N 105TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338973",
            "telephone_number": "206-888-4437",
            "fax_number": "206-203-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 N 105TH ST STE 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338973",
            "telephone_number": "206-888-4437",
            "fax_number": "206-203-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN WILSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "206-888-4437",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwen Wilson Counseling and Art Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.