Active NPI
Joshua Robert Wilson, LMFT
- Marriage & Family Therapist
- Orinda, CA
National Provider Identifier
1154756989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 52302
- Practice address
- 89 Moraga Way Ste B
Orinda, CA 94563-3023 - Phone
- (925) 813-0865
- NPI assigned
- Sep 11, 2013
- Last updated
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 52302 | CA | Primary |
Addresses
Primary practice location
89 Moraga Way Ste B
Orinda, CA 94563-3023
Mailing address
89 Moraga Way Ste B
Orinda, CA 94563-3023
Phone (925) 813-0865
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52302 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1154756989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MORAGA WAY STE B",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633023",
"telephone_number": "925-813-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MORAGA WAY STE B",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633023",
"telephone_number": "925-813-0865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOSHUA",
"middle_name": "ROBERT",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.