Organization Active NPI

Gail Wilson, LMFT, a Prof. Corp

  • Marriage & Family Therapist
  • Spring, TX
National Provider Identifier
1003391533
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Oct 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gail Yvonne Wilson Kakishita, LMFTNPI 1356542724
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1356542724MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.