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SHELLY WIMS EDD, LPC
NPI 1558257675
Counselor - Professional in Saint Louis, MO

Active since June 16, 2025PECOS Enrolled
1001 LYNCH ST, SAINT LOUIS, MO 63118(314) 535-5600(314) 535-5600 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Mar 20, 2026, Dec 15, 2025 and 1 more (4 updates tracked since 2025).

About Shelly Wims Edd, Lpc NPPES

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

SHELLY WIMS EDD, LPC (NPI 1558257675) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2025044325) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florissant, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558257675
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHELLY WIMSCredential: EDD, LPC
Location Address1001 LYNCH STSaint Louis, MO 63118-1818
Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5214 · Fax (417) 761-5065
Phone(314) 535-5600
Fax(314) 535-5600
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2025
Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1558257675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2025044325
1001 LYNCH ST, Saint Louis, MO 63118
Open in Google Maps ↗

Secondary Practice Location 1

Location 111701 W Florissant AveFlorissant, MO 63033-6744 · Phone (314) 830-2565

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Wims Edd, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416446505
PECOS Enrollment IDI20251029002247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Shelly Wims reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Places For People, Inc.
Same address
Adult Mental Health
1001 LYNCH ST
Saint Louis, MO 63118
  • Reassigned Medicare billing, Missouri enrollment
  • 69 clinicians in this Medicare group
NPI 1073637377 (314) 535-5600
Burrell, Inc.
195 mi
Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group
NPI 1275541740 (417) 761-5000
Mental Health Specialty Group PA
648 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Missouri enrollment
  • 56 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

FAMILY CARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 531-5444
ELISHA CHANTILLY LINNEN-GLASS LPC
Counselor (Professional)
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 535-5600
SAMANTHA N BIGHAM OT
Occupational Therapist
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 535-5600
SHARON K BROWNE FPMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 535-5600
AMY LYNN HENNESSY OT
Occupational Therapist
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 535-5600
TIARE SADARANANDA OTR/L
Occupational Therapist
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 535-5600
GRANT N UNDERHILL LCSW
Social Worker (Clinical)
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (314) 535-5600
JUSTIN THOMAS UFHEIL LCSW
Social Worker (Clinical)
1001 LYNCH ST
SAINT LOUIS, MO 63118
St. Louis City (315) 535-5600

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 Shelly Wims's NPI number?

The NPI number for Shelly Wims is 1558257675. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Shelly Wims located?

Shelly Wims practices at 1001 Lynch St, Saint Louis, MO 63118. The listed phone number is (314) 535-5600.

What is Shelly Wims's specialty?

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

Is Shelly Wims enrolled in Medicare?

Yes. Shelly Wims is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelly Wims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Wims reassigns Medicare benefits to 3 organizations: Places For People, Inc. (Saint Louis, MO), Burrell, Inc. (Springfield, MO) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Wims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Wims accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and UnitedHealthcare list Shelly Wims 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 Shelly Wims was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.