MRS. SHIRLEY JO WILSON LPC
NPI 1780828699
Counselor in Jackson, MI

Q: What is Shirley Wilson's NPI number?

The NPI number for Shirley Wilson is 1780828699. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Q: What is Shirley Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Wilson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 22, 2009PECOS Enrolled

1200 N WEST AVE, JACKSON, MI 49202(517) 789-1209 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Shirley Jo Wilson Lpc NPPES

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

MRS. SHIRLEY JO WILSON LPC (NPI 1780828699) is an individual counselor in Jackson, Michigan and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780828699

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. SHIRLEY JO WILSONCredential: LPC

Location Address1200 N WEST AVEJackson, MI 49202-2179

Mailing Address5088 Townley HwyManitou Beach, MI 49253-9784 · (517) 403-4950

Phone(517) 789-1209

Sole ProprietorYes

Enumeration DateApril 22, 2009

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1780828699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1200 N WEST AVE, Jackson, MI 49202

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Other Identifiers 1

Other12550792MI · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shirley Jo Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DEVIN DOMBROWSKI LLMSW

Social Worker

1200 N WEST AVE, SUITE 400
JACKSON, MI 49202

Jackson County (517) 780-3316

MRS. ROSEMARY JORDON BEALS LPC

Counselor (Mental Health)

1200 N WEST AVE
JACKSON, MI 49202

Jackson County (517) 783-5334

ALISON RENEE RUTTLE BSW

Social Worker

1200 N WEST AVE, SUITE 600
JACKSON, MI 49202

Jackson County (517) 789-1215

MR. MICHAEL LEE FREYTAG MA, LPC

Counselor (Mental Health)

1200 N WEST AVE, SUITE 400
JACKSON, MI 49202

Jackson County (517) 474-3793

MELANIE HORTON RD

Dietitian, Registered

1200 N WEST AVE, SUITE 300
JACKSON, MI 49202

Jackson County (517) 789-1234

CHRISTIAN L MCCASLIN LPC, MA

Counselor (Mental Health)

1200 N WEST AVE, SUITE 400
JACKSON, MI 49202

Jackson County (517) 780-3336

AMANDA ERIN MELLIS

Case Manager/Care Coordinator

1200 N WEST AVE
JACKSON, MI 49202

Jackson County (800) 248-8288

BRIANNE DUNN

Registered Nurse

1200 N WEST AVE
JACKSON, MI 49202

Jackson County (517) 789-1209

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 Shirley Wilson's NPI number?

The NPI number for Shirley Wilson is 1780828699. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Shirley Wilson located?

Shirley Wilson practices at 1200 N West Ave, Jackson, MI 49202. The listed phone number is (517) 789-1209.

What is Shirley Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shirley Wilson enrolled in Medicare?

Yes. Shirley Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Shirley Wilson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shirley 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 Shirley Wilson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.