Megan Wood Wilcox, LMFT #130122

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130122 Issued in CA

Practice address

4571 Pomona Ave
La Mesa, CA 91942-8713

Phone

(619) 962-7781

NPI assigned

Dec 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 22, 2024 through Apr 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1669132098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 POMONA AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428713",
            "telephone_number": "619-962-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4571 POMONA AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428713",
            "telephone_number": "619-962-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MEGAN",
        "middle_name": "WOOD",
        "name_prefix": "Mrs.",
        "credential": "LMFT #130122",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Breann Whitefield, AMFT
• Whitney Carter Professional Clinical Counselor (Overcome Therapeutic Services)
• Patricia Kim Whitson, LCSW
• Marie Wierzbic, PTA
• Donovan Wilcox
• Victoria Lynn Wiley-Gire, SLP
• Kathryn Leigh Wilkins, PHARMD
• Stephane Willer
• Jordan Nicole Willey
• William Davis MD, Inc (Mobile Physician Services)

• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, 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 Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.