Porchlight Marriage and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PORCHLIGHT MARRIAGE AND FAMILY THERAPY

Practice address

113 Clark St Ste 1
Tupelo, MS 38804-4809

Phone

(662) 205-0197

Fax

(662) 346-2821

NPI assigned

May 5, 2026

Organization subpart

No

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

Authorized official

Name

Martin Thomas Wildeman, LMFTNPI 1033993936

Title

Owner

Phone

(662) 205-0197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Martin Wildeman, LMFT

  • Marriage & Family Therapist
  • Tupelo, MS
  • NPI 1033993936
  NPD Authorized official

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1043147119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020132",
            "telephone_number": "662-205-0197",
            "fax_number": "662-346-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CLARK ST STE 1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044809",
            "telephone_number": "662-205-0197",
            "fax_number": "662-346-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORCHLIGHT MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "WILDEMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-205-0197",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli McGee Plunk, MSN, FNP-C
• Alec Hayden Plunkett, PA
• Holly Corbin Poland
• Ginger L Pole, D.O.
• Pontotoc Health Providers
• Bruce Edward Porter, MD
• Elizabeth Porter
• John Ryan Porter
• Mark L. Porter, ATC
• Wanderful Porter, FNP-BC

• Marriage & Family Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Marriage & Family Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.