Steven Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

130789 Issued in CA

Practice address

109 N Avenue 56 Ste B
Los Angeles, CA 90042-4111

Phone

(213) 793-8223

NPI assigned

Jan 27, 2022

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 25, 2025 through Jul 25, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Kindman & Company

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1851952188
  NPD
• Family Service Agency of the Central Coast

  • Mental Health Counselor
  • Santa Cruz, CA
  • NPI 1104994136
  NPD (past)
• Family Service Agency of the Central Coast

  dba Family Service Agency

  • Community/Behavioral Health Agency
  • Soquel, CA
  • NPI 1891240131
  NPD (past)

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1144973553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50591",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900500591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N AVENUE 56 STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424111",
            "telephone_number": "213-793-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Walnut Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603929",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "11074",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "130789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatira Wilson, MD
• Sonnee Wilson
• Sophia Rochelle Wilson, DNP, CRNA
• Stephanie Yvonne Wilson
• Stephen Wilson Jr.
• Summer Wilson
• Sydney Harper Wilson
• Taylor Jay Wilson
• Terry Lamont Wilson
• Tonja Wilson

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.