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STEVEN WILSON
NPI 1144973553
Counselor - Mental Health in Los Angeles, CA

Active since January 27, 2022Opted out of Medicare · through Jul 25, 2027
109 N AVENUE 56 STE B, LOS ANGELES, CA 90042(213) 793-8223 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2022, Jan 27, 2022 (2 updates tracked since 2022).

About Steven Wilson NPPES

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

STEVEN WILSON (NPI 1144973553) is an individual mental health provider in Los Angeles, California, licensed in California (130789) and active in the NPI registry since January 2022. He has opted out of Medicare through July 25, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144973553
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSTEVEN WILSON
Location Address109 N AVENUE 56 STE BLos Angeles, CA 90042-4111
Mailing AddressPo Box 50591Los Angeles, CA 90050-0591
Phone(213) 793-8223
Sole ProprietorNo
Enumeration DateJanuary 27, 2022
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1144973553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · 130789✔ Licensed in CA · 11074
109 N AVENUE 56 STE B, Los Angeles, CA 90042
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12901 Park Ave Ste A3Soquel, CA 95073-2831 · Phone (831) 423-9444
Location 2104 Walnut Ave Ste 208Santa Cruz, CA 95060-3929 · Phone (831) 423-9444

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Steven Wilson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 25, 2025 through July 25, 2027.

Opt-Out Effective DateJuly 25, 2025
Opt-Out In Effect ThroughJuly 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

MS. SARAH BARUKH
Social Worker (Clinical)
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (323) 774-4786
MADISON LEEANN SEGARRA
Student in an Organized Health Care Education/Training Program
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 793-8223
ANNA LLEWELLYN KIM
Social Worker (Clinical)
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 793-8223
KINDMAN & COMPANY
Marriage & Family Therapist
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 534-7336
MRS. CAITLIN SUSANNE BANCROFT HARRISON
Marriage & Family Therapist
109 N AVENUE 56 STE B
LOS ANGELES, CA 90042
Los Angeles County (213) 793-8223

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 Steven Wilson's NPI number?

The NPI number for Steven Wilson is 1144973553. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Steven Wilson located?

Steven Wilson practices at 109 N Avenue 56 Ste B, Los Angeles, CA 90042. The listed phone number is (213) 793-8223.

What is Steven Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Steven Wilson enrolled in Medicare?

No. Steven Wilson has opted out of Medicare through July 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Steven Wilson was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.