Individual provider Active NPI

Kristy Jay Wilson

  • Marriage & Family Therapist
  • Macon, GA
National Provider Identifier
1467912493
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT000813 Issued in GA
Practice address
144 Pierce Ave
Macon, GA 31204-2860
Phone
(478) 475-4608
Fax
(478) 476-8397
NPI assigned
Mar 25, 2019
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT000813 GA Primary

Addresses

Primary practice location

144 Pierce Ave
Macon, GA 31204-2860

Mailing address

717 North Avenue
Macon, GA 31211-1418
Phone (478) 475-4608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311002029 GA Practitioner - Marriage and Family Therapist 1850812462 Practice locations: Macon, GA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

144 Pierce Ave
Macon, GA 31204-2860

717 N Ave
Macon, GA 31211-1418
Phone (478) 475-4608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT000813GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Christian Counseling Center Inc Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1467912493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NORTH AVENUE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111418",
            "telephone_number": "478-475-4608",
            "fax_number": "478-476-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042860",
            "telephone_number": "478-475-4608",
            "fax_number": "478-476-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTY",
        "middle_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT000813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.