Adrina Wilson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1241 E Michelson St
Long Beach, CA 90805-4845

Phone

(310) 396-6468

Fax

(310) 392-8402

NPI assigned

Mar 15, 2017

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eclectic Minds Therapy a Marriage and Family Therapy Corporation

  dba Eclectic Minds Therapy

  • Mental Health Counselor
  • Long Beach, CA
  • NPI 1083309686
  NPD Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1275074866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DE LACEY AVE STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E MICHELSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054845",
            "telephone_number": "310-396-6468",
            "fax_number": "310-392-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Alvin Wills
• Monica Willson, MFT TRAINEE
• Natalia Wilson Bey
• Pamela Wilson Williams
• Valerie Adel Wilson-Lindberg, L.C.S.W
• Alisha Wilson
• Alyssa Wilson
• Angella Wilson
• Anneke Wilson, MD
• Beata E Wilson

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.