SHANNON J WILKOWSKI - NPI 1881309508 - Marriage & Family Therapist in San Jose, CA

Q: What is Shannon Wilkowski's NPI number?

The NPI number for Shannon Wilkowski is 1881309508. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Q: What is Shannon Wilkowski's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Shannon Wilkowski enrolled in Medicare?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Wilkowski was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Shannon J Wilkowski NPPES

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

SHANNON J WILKOWSKI (NPI 1881309508) is an individual marriage & family therapist in San Jose, California, licensed in California (80839) and active in the NPI registry since January 2023. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1881309508

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANNON J WILKOWSKI

Location Address1210 S BASCOM AVE STE 114San Jose, CA 95128-3535

Mailing Address1210 S Bascom Ave Ste 114San Jose, CA 95128-3535 · (650) 898-7505

Phone(650) 898-7505

Sole ProprietorNo

Enumeration DateJanuary 17, 2023

Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1881309508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 80839

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1210 S BASCOM AVE STE 114, San Jose, CA 95128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon J Wilkowski 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE REGAN LMFT, LPCC

Marriage & Family Therapist