Active NPI
Rebecca T Wilson, IMF84966
- Marriage & Family Therapist
- Porterville, CA
National Provider Identifier
1760926208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF84966
- Practice address
- 1055 W Henderson Ave Ste 2
Porterville, CA 93257-1490 - Phone
- (559) 788-1200
- Fax
- (559) 713-3717
- NPI assigned
- Dec 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF84966 | CA | Primary |
Addresses
Primary practice location
1055 W Henderson Ave Ste 2
Porterville, CA 93257-1490
Mailing address
1055 W Henderson Ave, Ste #2
Portevillle, CA 93257
Phone (559) 719-0815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF84966 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tulare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1760926208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 W HENDERSON AVE, STE #2",
"city": "PORTEVILLLE",
"state": "CA",
"postal_code": "93257",
"telephone_number": "559-719-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 W HENDERSON AVE STE 2",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932571490",
"telephone_number": "559-788-1200",
"fax_number": "559-713-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "REBECCA",
"middle_name": "T",
"credential": "IMF84966",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-16",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF84966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.