Jonathan B Wilson, PHD, LMFT-S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203636 Issued in TX

Practice address

5130 Goodwin Ave
Dallas, TX 75206-6205

Phone

(972) 638-7485

NPI assigned

Nov 28, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Clear Horizon Therapy PLLC

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1912719485
  NPD Authorized official

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1679840227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GOODWIN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066205",
            "telephone_number": "972-638-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 GOODWIN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066205",
            "telephone_number": "972-638-7485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5109 Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752066648",
            "country_code": "US",
            "telephone_number": "405-334-6533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Mercantile Plaza Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374214",
            "country_code": "US",
            "telephone_number": "888-854-1397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 N Shiloh Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750446605",
            "country_code": "US",
            "telephone_number": "888-854-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "LMFT10000178",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Jay Wilson, DC
• Jeni Rachelle Wilson, AGACNP-BC
• John Brooks Wilson, DDS
• John Jay Wilson, C.O.T.A./L.
• John M. Wilson, MD
• Judy Nell Wilson, MA, LPC
• Kathleen S Wilson, MD
• Kayla V Wilson
• Kelly A. Wilson, M.S.
• Kerwin Wayne Wilson, ORTHOTIC FITTER

• Marriage & Family Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.