Ivory Petree Wilson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

163929 Issued in CA

Practice address

2300 Boswell Rd Ste 125
Chula Vista, CA 91914-3523

Phone

(888) 688-0248

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1538066865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880525",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921680525",
            "telephone_number": "323-353-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BOSWELL RD STE 125",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143523",
            "telephone_number": "888-688-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "IVORY",
        "middle_name": "PETREE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22888",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "163929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asrelea Nicole Wilson
• Chantal Marie Wilson, LMFT
• Elizabeth Ann Wilson, OTR
• Erika Wilson, OTD
• Estela Wilson, RN
• Jenny Marie Wilson
• Jodi Lee Wilson, DPT
• Michael Bryan Wilson, M.D.
• Yadanar Win
• Kelly Windt

• Marriage & Family Therapist in Chula Vista, CA
• Providers in Chula Vista, 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 Oct 21, 2026; 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.