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SHATISHA MATRICE WILSON MS, LPC, RPT-S, ACS
NPI 1073953253
Counselor - Professional in Martinez, GA

Active since July 02, 2013
4210 COLUMBIA RD STE 13B, MARTINEZ, GA 30907(706) 496-2856(762) 333-2872 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shatisha Matrice Wilson Ms, Lpc, Rpt-s, Acs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHATISHA MATRICE WILSON MS, LPC, RPT-S, ACS (NPI 1073953253) is an individual professional provider in Martinez, Georgia, licensed in Georgia (LPC008626) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1073953253
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHATISHA MATRICE WILSONCredential: MS, LPC, RPT-S, ACS
Location Address4210 COLUMBIA RD STE 13BMartinez, GA 30907-0445
Mailing AddressPo Box 3134Evans, GA 30809-0079 · (706) 496-2856 · Fax (762) 333-2872
Phone(706) 496-2856
Fax(762) 333-2872
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1073953253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC008626✔ Licensed in SC · PC8041
4210 COLUMBIA RD STE 13B, Martinez, GA 30907
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JA'NICIA I. WILSON MSW
Social Worker
4210 COLUMBIA RD STE 13B
MARTINEZ, GA 30907
Columbia County (706) 496-2856
DERRICK YORK
Student in an Organized Health Care Education/Training Program
4210 COLUMBIA RD STE 13B
MARTINEZ, GA 30907
Columbia County (706) 496-2856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shatisha Wilson's NPI number?

The NPI number for Shatisha Wilson is 1073953253. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Shatisha Wilson located?

Shatisha Wilson practices at 4210 Columbia Rd Ste 13B, Martinez, GA 30907. The listed phone number is (706) 496-2856.

What is Shatisha Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Shatisha Wilson accept?

Health plans from Providence Health Plan and UnitedHealthcare list Shatisha Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shatisha Wilson was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.