Ciara Lynise Wilcox, LMFT 113121

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113121 Issued in CA

Practice address

8775 Sierra College Blvd Ste 200
Roseville, CA 95661

Phone

(916) 220-5483

Fax

(916) 625-6826

NPI assigned

Mar 17, 2016

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

Other names 1

• Ciara Lynise Branson Former name

Electronic endpoints 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment
• Greenhouse Therapy

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1013377647
  NPD (past)
• Greenhouse Therapy Group Inc

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1437514064
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1679934657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 SIERRA COLLEGE BLVD STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615985",
            "telephone_number": "916-220-5483",
            "fax_number": "916-625-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 SIERRA COLLEGE BLVD STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-220-5483",
            "fax_number": "916-625-6826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2358 Maritime Dr",
            "address_2": "suite 110",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957583661",
            "country_code": "US",
            "telephone_number": "916-220-5483",
            "fax_number": "916-625-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "CIARA",
        "middle_name": "LYNISE",
        "credential": "LMFT 113121",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ciarawilcoxmft@gmail.com",
            "affiliation": "N",
            "address_1": "8775 Sierra College Blvd Ste 200",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CIARA",
            "last_name": "BRANSON",
            "middle_name": "LYNISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Wigley, AMFT
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• Marquita Wilbon
• Laura Wilbur, LMFT
• Florina Wilcox, OT
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• Delora Wiley
• Benjamin Wilhelm
• Anjali K Wilkerson, PA-C

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, 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 Aug 16, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.