Angela Kae Willson, MFTT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF54841 Issued in CA

Practice address

512 Rockridge PL
Vacaville, CA 95687

Phone

(707) 246-7857

NPI assigned

Mar 19, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1629192323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ROCKRIDGE PL",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873392",
            "telephone_number": "707-246-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ROCKRIDGE PL",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-246-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "ANGELA",
        "middle_name": "KAE",
        "name_prefix": "Ms.",
        "credential": "MFTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF54841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lachey Williams
• Debrina Diane Williams, NP
• Martha Fair Williams, P.T.
• Vickie Williams
• Deborah Sue Williamson
• Wilma Parnaso CNP a Prof Nursing Corp
• Heather Wilson, LEP NCSP
• Jamie Michelle Wilson
• Jeri Lynn Wilson
• Wes R Wiltse, DO

• Marriage & Family Therapist in Vacaville, CA
• Providers in Vacaville, 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 Feb 8, 2013; 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.