MR. SHABAZZ M WILSON M.ED.
NPI 1841358322
Counselor - Mental Health in Springfield, MA

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
110 MAPLE ST, SPRINGFIELD, MA 01105(413) 732-7419 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shabazz M Wilson M.ed. NPPES

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

MR. SHABAZZ M WILSON M.ED. (NPI 1841358322) is an individual mental health provider in Springfield, Massachusetts and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1841358322
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHABAZZ M WILSONCredential: M.ED.
Location Address110 MAPLE STSpringfield, MA 01105-1864
Mailing Address26 Northumberland StSpringfield, MA 01109-2606
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1841358322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
110 MAPLE ST, Springfield, MA 01105

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

Mr. Shabazz M Wilson M.ed. 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 ID7315399904
PECOS Enrollment IDI20240119000118
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.

Counselor (Mental Health)
110 MAPLE ST
SPRINGFIELD, MA 01105
Counselor
110 MAPLE ST
SPRINGFIELD, MA 01105
Behavior Technician
110 MAPLE ST
SPRINGFIELD, MA 01105
Counselor (Mental Health)
110 MAPLE ST
SPRINGFIELD, MA 01105
Counselor
110 MAPLE ST
SPRINGFIELD, MA 01105
Behavior Technician
110 MAPLE ST
SPRINGFIELD, MA 01105
Counselor (Mental Health)
110 MAPLE ST
SPRINGFIELD, MA 01105
Counselor
110 MAPLE ST
SPRINGFIELD, MA 01105

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 Shabazz Wilson's NPI number?

The NPI number for Shabazz Wilson is 1841358322. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Shabazz Wilson located?

Shabazz Wilson practices at 110 Maple St, Springfield, MA 01105. The listed phone number is (413) 732-7419.

What is Shabazz Wilson's specialty?

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

Is Shabazz Wilson enrolled in Medicare?

Yes. Shabazz 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.

When was this NPI record last updated?

The NPPES record for Shabazz Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.