Active NPI
Gail Wilson, LMFT, a Prof. Corp
- Marriage & Family Therapist
- Spring, TX
National Provider Identifier
1003391533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- GAIL WILSON, LMFT, A PROF. CORP
- Practice address
- 17907 Kuykendahl Rd
Spring, TX 77379-8152 - Phone
- (925) 605-9127
- Fax
- (925) 397-6793
- NPI assigned
- Oct 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gail Yvonne Wilson Kakishita, LMFT
- Title
- Owner
- Phone
- (925) 605-9127
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
17907 Kuykendahl Rd
Spring, TX 77379-8152
Mailing address
18231 Tacoma Ridge Dr
Tomball, TX 77377-2335
Phone (510) 914-6282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356542724 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Spring, TX
- NPI 1356542724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538352000000",
"number": "1003391533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18231 TACOMA RIDGE DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773772335",
"telephone_number": "510-914-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17907 KUYKENDAHL RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773798152",
"telephone_number": "925-605-9127",
"fax_number": "925-397-6793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAIL WILSON, LMFT, A PROF. CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A",
"authorized_official_last_name": "KAKISHITA",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "YVONNE WILSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-605-9127",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356542724",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.