ISHALON SHANQUELL SIEDAH WILSON LMHC, LPC
NPI 1750126470
Counselor - Professional in Port St Lucie, FL

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
4090 SW JAQUST ST, PORT ST LUCIE, FL 34953(850) 631-0977 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Jun 25, 2024 (2 updates tracked since 2024).

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

NPI1750126470
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameISHALON SHANQUELL SIEDAH WILSONCredential: LMHC, LPC
Location Address4090 SW JAQUST STPort St Lucie, FL 34953-5626
Mailing Address4090 Sw Jaqust StPort St Lucie, FL 34953-5626 · (850) 631-0977
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 25, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1750126470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 99718
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH23967 (FL)
4090 SW JAQUST ST, Port St Lucie, FL 34953

Other Names 1

Professional Name (2)Isha Wilson Lmhc

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5991228199
PECOS Enrollment IDI20250328000807
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.

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.

What insurance does Ishalon Wilson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 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 6 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.