Active NPI
Shira Beth Wilson, M.A., LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1437559549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60488602
- Practice address
- 4026 NE 55TH St Ste E
Seattle, WA 98105-2264 - Phone
- (206) 769-6584
- NPI assigned
- Aug 26, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60488602 | WA | Primary |
Addresses
Primary practice location
4026 NE 55TH St Ste E
Seattle, WA 98105-2264
Mailing address
PO Box 15532
Seattle, WA 98115-0532
Phone (206) 769-6584
Other names 1
- Shira Wilson-Gross
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416003005 | WA | Practitioner - Mental Health Counselor | 9436674090 | Practice locations: Seattle, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4026 NE 55TH St
Suite E
Seattle, WA 98105-2264
Phone (206) 769-6584
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1437559549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15532",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981150532",
"telephone_number": "206-769-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4026 NE 55TH ST STE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981052264",
"telephone_number": "206-769-6584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHIRA",
"middle_name": "BETH",
"credential": "M.A., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60488602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRA",
"last_name": "WILSON-GROSS",
"credential": "M.A., LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 22, 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.