Gwendolyn Wilson, LMHC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60963777 Issued in WA

Practice address

1833 N 105TH St Ste 101
Seattle, WA 98133-8973

Phone

(206) 888-4437

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gwen Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Gwen Wilson PLLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1023806940
  Medicare reassignment NPD Authorized official
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1578593562
  Medicare reassignment NPD
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275187429
  NPD
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275567539
  NPD
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Vashon, WA
  • NPI 1437603099
  NPD

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1255864583",
    "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 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338973",
            "telephone_number": "206-888-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GWENDOLYN",
        "credential": "LMHC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60963777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "WILSON",
            "credential": "LMHC, ATR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Joseph Wilson, SUDPT
• David Michael Wilson, M.D.
• Diana Wilson, RRT
• Elyse M. Wilson, AUD
• Eric James Wilson, PHARMD
• Heather Wilson, RN
• Heather Pema Wilson
• Hugh A Wilson, D.C.
• Hyacinth Wilson, PHARM D.
• Ian Thomas Wilson, BA, AAC, CDPT

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.