Laura Lynn Wilson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT37115 Issued in CA

Practice address

9712 Fair Oaks Blvd Ste C1
Fair Oaks, CA 95628-7032

Phone

(916) 768-6756

NPI assigned

Jul 31, 2006

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

Other identifiers 1

Other names 1

• Ms. Laura Wilson Lynn Wilson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1356357248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 FAIR OAKS BLVD STE C1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287032",
            "telephone_number": "916-768-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 FAIR OAKS BLVD STE C1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287032",
            "telephone_number": "916-768-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT37115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "07272006246334",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA WILSON",
            "last_name": "WILSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Andrew Williams
• Susan Donna Willis, RN, FNP
• Willow Branch Counseling
• Evangeline Wilson
• Kathryn Diane Wilson, PHARMD
• Mariah Wilson, PT, DPT
• Michael K. Wilson, D.D.S.
• Steven R Winn, MFT 20446
• Phillip Wister, MFT
• Within Therapy Solutions, a Licensed Clinical Social Worker Corporatio

• Marriage & Family Therapist in Fair Oaks, CA
• Providers in Fair Oaks, 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 Sep 13, 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.