Shiva Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19207 Issued in CA

Practice address

1225 Crane St Ste 205
Menlo Park, CA 94025-4253

Phone

(650) 394-5155

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• One Life Counseling Center

  • Community/Behavioral Health Agency
  • San Carlos, CA
  • NPI 1336504802
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1902572308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST STE 205",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254253",
            "telephone_number": "650-326-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST STE 205",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254253",
            "telephone_number": "650-394-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHIVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "19207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Wilkes, MD
• Christian Lewis Williams, PHD
• Monique Daneyell Williams
• Willson Therapy
• Andrea Teresa Willson, LMFT
• Mirene Winsberg, M.D.
• Ashley Witt, PH.D.
• Claire Wolf, LMFT
• Albert Wong, MD
• Breane Wong, PA

• Mental Health Counselor in Menlo Park, CA
• Providers in Menlo Park, 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 Sep 29, 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.

Verify at the official NPI Registry.