Active NPI
Madeline Wilson
- Marriage & Family Therapist
- San Carlos, CA
National Provider Identifier
1033027313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 156712
- Practice address
- 778 El Camino Real Ste D
San Carlos, CA 94070-3106 - Phone
- (650) 241-9102
- NPI assigned
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20129 | CA | |
| Marriage & Family Therapist | 106H00000X | 156712 | CA | Primary |
Addresses
Primary practice location
778 El Camino Real Ste D
San Carlos, CA 94070-3106
Mailing address
778 El Camino Real Ste D
San Carlos, CA 94070-3106
Other practice location 1
671 Oak Grove Ave
Menlo Park, CA 94025-4352
Phone (650) 241-9102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1033027313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 EL CAMINO REAL STE D",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 EL CAMINO REAL STE D",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703106",
"telephone_number": "650-241-9102"
}
],
"practiceLocations": [
{
"address_1": "671 Oak Grove Ave",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940254352",
"country_code": "US",
"telephone_number": "650-241-9102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MADELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "20129",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.