Active NPI
Wilson Family Counseling Services
- Mental Health Counselor
- Manteca, CA
National Provider Identifier
1538757703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Wilson-Parish, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.