Active NPI
Margaret Nell Wild, PH.D., M.S., MFTI
- Marriage & Family Therapist
- Yucaipa, CA
National Provider Identifier
1114352960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT91521
- Practice address
- Footprints Counseling Services
34455 Yucaipa Blvd
Yucaipa, CA 92399 - Phone
- (951) 367-4446
- NPI assigned
- Sep 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT91521 | CA | Primary |
Addresses
Primary practice location
Footprints Counseling Services
34455 Yucaipa Blvd
Yucaipa, CA 92399
Mailing address
5924 Victoria Ave
Riverside, CA 92506-4539
Phone (951) 367-4446
Other practice location 1
51 W Olive Ave
205 State Street
Redlands, CA 92373-5243
Phone (951) 793-1078 ext. 208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT91521 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1114352960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5924 VICTORIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064539",
"telephone_number": "951-367-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOOTPRINTS COUNSELING SERVICES",
"address_2": "34455 YUCAIPA BLVD",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "92399",
"telephone_number": "951-367-4446"
}
],
"practiceLocations": [
{
"address_1": "51 W Olive Ave",
"address_2": "205 State Street",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923735243",
"country_code": "US",
"telephone_number": "951-793-1078 x208",
"fax_number": "909-335-7330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILD",
"first_name": "MARGARET",
"middle_name": "NELL",
"name_prefix": "Dr.",
"credential": "PH.D., M.S., MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT91521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.