Active NPI
Shalonda Wilson
- Professional Counselor
- Somerville, TN
National Provider Identifier
1043134950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9016
- Practice address
- 420 Azalea Dr
Somerville, TN 38068-6917 - Phone
- (901) 467-7847
- NPI assigned
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9016 | TN | Primary |
Addresses
Primary practice location
420 Azalea Dr
Somerville, TN 38068-6917
Mailing address
10077 Woodlee CV
Cordova, TN 38016-0367
Phone (901) 467-7847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1043134950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10077 WOODLEE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160367",
"telephone_number": "901-467-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 AZALEA DR",
"city": "SOMERVILLE",
"state": "TN",
"postal_code": "380686917",
"telephone_number": "901-467-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHALONDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "9016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.