MS. SHANNON MARIE WILSON LMHC, CRC, CADC
NPI 1629417746
Counselor - Mental Health in Cedar Rapids, IA

Active since June 21, 2013Opted out of Medicare · through Feb 1, 2028
1570 42ND ST NE STE 2A, CEDAR RAPIDS, IA 52402(319) 430-1211 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shannon Marie Wilson Lmhc, Crc, Cadc NPPES

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

MS. SHANNON MARIE WILSON LMHC, CRC, CADC (NPI 1629417746) is an individual mental health provider in Cedar Rapids, Iowa, licensed in Iowa (001593) and active in the NPI registry since June 2013. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1629417746
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHANNON MARIE WILSONCredential: LMHC, CRC, CADC
Location Address1570 42ND ST NE STE 2ACedar Rapids, IA 52402-3073
Mailing Address1570 42nd St Ne Ste 2aCedar Rapids, IA 52402-3073
Sole ProprietorNo
Enumeration DateJune 21, 2013
Last NPPES UpdateSeptember 9, 2013
NPI 1629417746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IA · 001593
1570 42ND ST NE STE 2A, Cedar Rapids, IA 52402

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Shannon Marie Wilson Lmhc, Crc, Cadc 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 February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Shannon Wilson's NPI number?

The NPI number for Shannon Wilson is 1629417746. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Shannon Wilson located?

Shannon Wilson practices at 1570 42nd St NE Ste 2A, Cedar Rapids, IA 52402. The listed phone number is (319) 430-1211.

What is Shannon Wilson's specialty?

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

Is Shannon Wilson enrolled in Medicare?

No. Shannon Wilson has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shannon Wilson accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Shannon 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 Shannon Wilson was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.