Teresa Smith Wilshin, LMFT LICENSED MARRIA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT33836 Issued in CA

Practice address

25283 Cabot Rd
Suite #107
Laguna Hills, CA 92653-5509

Phone

(949) 458-8145

Fax

(949) 458-1586

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518028950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD",
            "address_2": "SUITE #107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535509",
            "telephone_number": "949-458-8145",
            "fax_number": "949-458-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD",
            "address_2": "SUITE #107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535509",
            "telephone_number": "949-458-8145",
            "fax_number": "949-458-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSHIN",
        "first_name": "TERESA",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "LMFT LICENSED MARRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT33836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Laguna Hills, CA
• Providers in Laguna Hills, 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 Jul 8, 2007; 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.