SHANE WILSON MS LMHC NPI 1164182135

NPI Information

  • NPI: 1164182135
  • Provider Name: SHANE WILSON, MS, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7777 SW 86 ST BLDG F1
    APT 212
    MIAMI, FL
    ZIP 33143
  • Phone: (786) 444-1735

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NPI Details

Shane Wilson, MS, LMHC is a mental health counselor in Miami, FL. Shane Wilson, MS, LMHC NPI is 1164182135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7777 SW 86 ST BLDG F1
APT 212
MIAMI, FL
ZIP 33143
Phone: (786) 444-1735

The NPI 1164182135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMH20043FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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