Individual provider Active NPI

Sonja Wishard, LMFT 156720

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1629735006
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
156720 Issued in CA
Practice address
55 Santa Clara Ave
Oakland, CA 94610-1375
Phone
(510) 221-3331
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 156720 CA Primary

Addresses

Primary practice location

55 Santa Clara Ave
Oakland, CA 94610-1375

Mailing address

55 Santa Clara Ave
Oakland, CA 94610-1375
Phone (510) 221-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 6, 2025 through Aug 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
156720CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1629735006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101375",
            "telephone_number": "510-221-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101375",
            "telephone_number": "510-221-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHARD",
        "first_name": "SONJA",
        "credential": "LMFT 156720",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "156720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.