Individual provider Active NPI

Jason Wilson

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1013338870
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2020 Hurley Way Ste 145
Sacramento, CA 95825-3231
Phone
(310) 702-5792
NPI assigned
Dec 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Psychologist 103T00000X Primary

Addresses

Primary practice location

2020 Hurley Way Ste 145
Sacramento, CA 95825-3231

Mailing address

7332 Villa del Sol LN
Citrus Heights, CA 95621-7330
Phone (310) 702-5792

Other practice location 1

7880 Alta Valley Dr Ste 107
Sacramento, CA 95823-4908
Phone (916) 897-7730

Other practice location 2

2220 N Classen Blvd
Ste E
Oklahoma City, OK 73106-5809
Phone (405) 528-1748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212000681 OK Practitioner - Mental Health Counselor 6709316383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Counseling Services, Inc. CurrentSince Jan 29, 2025 Accepting new patients
Focis Counseling Services, Inc. Past Accepting new patients

Locations

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1013338870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 VILLA DEL SOL LN",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956217330",
            "telephone_number": "310-702-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HURLEY WAY STE 145",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253231",
            "telephone_number": "310-702-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7880 Alta Valley Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958234908",
            "country_code": "US",
            "telephone_number": "916-897-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 N Classen Blvd",
            "address_2": "Ste E",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731065809",
            "country_code": "US",
            "telephone_number": "405-528-1748",
            "fax_number": "405-528-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-21",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.