Organization Active NPI

Wilson Family Counseling Services

  • Mental Health Counselor
  • Manteca, CA
National Provider Identifier
1538757703
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILSON FAMILY COUNSELING SERVICES
Practice address
123 Sycamore Ave Ste 103
Manteca, CA 95336-4569
Phone
(120) 974-0994
Fax
(209) 707-3538
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Kathleen Wilson-Parish, LMFTNPI 1780807636
Title
Director/Clinical Supervisor
Phone
(209) 740-9943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

123 Sycamore Ave Ste 103
Manteca, CA 95336-4569

Mailing address

123 Sycamore Ave Ste 103
Manteca, CA 95336-4569
Phone (122) 097-4099

National Provider Directory

National Provider Directory

Locations

123 Sycamore Ave
Ste 103
Manteca, CA 95336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1538757703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SYCAMORE AVE STE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364569",
            "telephone_number": "122-097-4099",
            "fax_number": "209-707-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SYCAMORE AVE STE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364569",
            "telephone_number": "120-974-0994",
            "fax_number": "209-707-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "WILSON-PARISH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "209-740-9943",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.