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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 16, 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 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 ↗

Medicare Participation & PECOS CMS

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

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.

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.

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 25 days 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.