SHERESA WILSON (PA-C, LMHCA) – Mental Health Counselor, NPI 1114001237
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
893 MENTAL HEALTH COUNSELOR in IN
Provider Addresses for SHERESA WILSON (PA-C, LMHCA)
1720 Beacon St
Fort Wayne, IN 468054749
Phone: (260) 373-8000
Fax: (260) 373-8034
Type: Location
370 E CHICAGO ST STE 200
COLDWATER, MI 490362062
Phone: (517) 279-5378
Fax: (517) 279-5259
Type: Location
370 E Chicago St Ste 200
Coldwater, MI 490362062
Phone: (517) 279-5378
Fax: (517) 279-5259
Type: Location
419 Airport North Office Park
Fort Wayne, IN 468256704
Phone: (260) 267-5185
Type: Location
16311 PAGE RD
GRABILL, IN 467419612
Phone: (260) 452-6700
Type: Mailing
2710 LAKE AVE
FORT WAYNE, IN 468055412
Phone: (260) 481-2700
Fax: (260) 969-8448
Type: Location
300 E CHICAGO ST STE 200
COLDWATER, MI 490361688
Phone: (517) 279-5378
Fax: (517) 279-5259
Type: Location
292, East Chicago Street, Coldwater, Branch County, Michigan, 49036, United States
COLDWATER, MI 490362041
Phone: (517) 279-5378
Fax: (517) 279-5259
Type: Location
County Road 427, Auburn Junction, Auburn, DeKalb County, Indiana, 46706, United States
AUBURN, IN 467069515
Phone: (260) 452-6700
Fax: (260) 425-3702
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $690.
Total Amount is formed as General ($690) + Research ($0) + Ownership ($0) = $690.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($206).
Total Amount
$690
General + Research + Ownership
Payments
36
Total payment records
General Amount
$690
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $206 |
| Novo Nordisk Inc | $56 |
| Corcept Therapeutics | $44 |
| Bayer Healthcare Pharmaceuticals Inc. | $42 |
| AstraZeneca Pharmaceuticals LP | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200110000834 | I | Physician Assistant | MI | TBD |
| I20260116002363 | I | Mental Health Counselor | IN | TBD |
| I20260211002057 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Psychiatry, Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Family Practice | MI | |
| P O D I A T R Y | MI | |
| - | MI |
Reviews
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