Individual provider Active NPI

Alexis Wilson

  • Marriage & Family Therapist
  • Ojai, CA
National Provider Identifier
1629655444
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
143568 Issued in CA
Practice address
1211 Maricopa Hwy Ste 265
Ojai, CA 93023-3161
Phone
(805) 798-3150
Fax
(805) 232-3224
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 143568 CA Primary

Addresses

Primary practice location

1211 Maricopa Hwy Ste 265
Ojai, CA 93023-3161

Mailing address

PO Box 4590 11043 Citrus Dr
Ventura, CA 93004-1300
Phone (820) 203-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725001973 CA Practitioner - Marriage and Family Therapist 7618484676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Family Therapy Inc Marriage & Family Therapist CurrentSince Mar 28, 2021 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Jun 6, 2025 Accepting new patients

Locations

1211 Maricopa Hwy
Ste 265
Ojai, CA 93023
Phone (805) 707-4625

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1629655444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4590 11043 CITRUS DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041300",
            "telephone_number": "820-203-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MARICOPA HWY STE 265",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233161",
            "telephone_number": "805-798-3150",
            "fax_number": "805-232-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.