Holly Wilson, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2013039843 Issued in MO

Practice address

702 Spirit 40 Park Dr
Suite 106
Chesterfield, MO 63005-1195

Phone

(636) 590-6023

NPI assigned

Mar 31, 2016

Last updated

Mar 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1225491855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SPIRIT 40 PARK DR",
            "address_2": "SUITE 106",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051195",
            "telephone_number": "636-590-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SPIRIT 40 PARK DR",
            "address_2": "SUITE 106",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051195",
            "telephone_number": "636-590-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HOLLY",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2013039843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samara Marie Williamson, AGNP-C
• Kristen M Willingham, AGNP
• Sarah Ann Willis, PT
• Elizabeth M Wilmes, CRNA
• Sarah M Wilmsmeyer, PA-C
• Regina Winkler, MA,CCC-SLP
• Kalanit Winter
• Laura Winters, LMSW
• Kimberly Wise, RN
• Marlena Faye Wisnasky

• Marriage & Family Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.