NPI age
12 years
Enumerated 2013-07-02
● Active
Type 1 · Individual
Shatisha Matrice Wilson, MS, LPC, RPT-S, ACS
Wilson is 1 of 40 counselor providers in Martinez and 1 of 7547 in Georgia.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7547 active counselor providers in Georgia.
NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Practice location
4210 Columbia Rd Ste 13b
Martinez, GA 309070445
Mailing address
Po Box 3134
Evans, GA 308090079
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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