Shiva Wilson, - Counselor in Menlo Park, CA

Shiva Wilson, is a Counselor - Mental Health based in Menlo Park, California. Shiva Wilson is licensed to practice in California (license number 11538) and her current practice location is 1225 Crane St Ste 205, Menlo Park, California. She can be reached at her office (for appointments etc.) via phone at (650) 394-5155.

NPI number for Shiva Wilson is 1902572308 and her current mailing address is 1225 Crane St Ste 205, Menlo Park, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902572308.

Contact Information

Shiva Wilson,
1225 Crane St Ste 205,
Menlo Park, CA 94025-4253
(650) 394-5155
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShiva Wilson
GenderFemale
SpecialityCounselor - Mental Health
Location1225 Crane St Ste 205, Menlo Park, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902572308
  • Provider Enumeration Date: 08/17/2021
  • Last Update Date: 12/29/2023

Medical Identifiers

Medical identifiers for Shiva Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902572308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 132296 (California)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YM0800XCounselor - Mental Health 11538 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shiva Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shiva Wilson,
1225 Crane St Ste 205,
Menlo Park, CA 94025-4253

Ph: (650) 326-5888
Shiva Wilson,
1225 Crane St Ste 205,
Menlo Park, CA 94025-4253

Ph: (650) 394-5155

Reviews and Comments


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