ISHALON SHANQUELL SIEDAH WILSON LMHC, LPC
NPI 1750126470
Counselor - Professional in Port St Lucie, FL
About Ishalon Shanquell Siedah Wilson Lmhc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISHALON SHANQUELL SIEDAH WILSON LMHC, LPC (NPI 1750126470) is an individual professional provider in Port St Lucie, Florida, licensed in Texas (99718) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ishalon Shanquell Siedah Wilson Lmhc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ishalon Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Saint Lucie, FL 34986
- Reassigned Medicare billing, Florida enrollment
- 19 clinicians in this Medicare group
San Antonio, TX 78253
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Alaniz Counseling And Behavioral Center PC
- 369 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ishalon Wilson's NPI number?
The NPI number for Ishalon Wilson is 1750126470. It was assigned to this individual provider in the NPPES registry on June 25, 2024. The provider is also known as Isha Wilson Lmhc.
Where is Ishalon Wilson located?
Ishalon Wilson practices at 4090 SW Jaqust St, Port St Lucie, FL 34953. The listed phone number is (850) 631-0977.
What is Ishalon Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ishalon Wilson enrolled in Medicare?
Yes. Ishalon Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ishalon Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ishalon Wilson reassigns Medicare benefits to 2 organizations: Shardae Tripp Counseling LLC (Port Saint Lucie, FL) and Alaniz Counseling And Behavioral Center, P.C. (San Antonio, TX). 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 Ishalon Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ishalon Wilson accept?
Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 6 other insurers list Ishalon 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 Ishalon Wilson was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ishalon Shanquell Siedah Wilson, LMHC, LPC · NPI 1750126470
Professional provider in Port St Lucie, Florida. Individual provider, active in the CMS NPPES registry since June 25, 2024.
## Identity
- **NPI:** 1750126470 (Entity type: Individual)
- **Enumerated:** June 25, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 99718 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4090 SW JAQUST ST, Port St Lucie, FL 34953-5626
- **Phone:** (850) 631-0977
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shardae Tripp Counseling LLC (NPI 1801583646, Port Saint Lucie, FL); Alaniz Counseling And Behavioral Center, P.C. (NPI 1811288731, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750126470) · Data from the CMS NPPES public registry.