Active NPI
Shawn Willson
- Professional Counselor
- Cheyenne, WY
National Provider Identifier
1215346747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PPC-1555
- Practice address
- 2526 Seymour Ave
Cheyenne, WY 82001-3159 - Phone
- (307) 634-9653
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 26854 | CA | |
| Professional Counselor | 101YP2500X | PPC-1555 | WY | Primary |
Addresses
Primary practice location
2526 Seymour Ave
Cheyenne, WY 82001-3159
Mailing address
2526 Seymour Ave
Cheyenne, WY 82001-3159
Phone (307) 634-9653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1555 | WY | MD | Professional Counselor |
| 26854 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1215346747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 SEYMOUR AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013159",
"telephone_number": "307-634-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 SEYMOUR AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013159",
"telephone_number": "307-634-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "26854",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "PPC-1555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.