Active NPI
Christian Faith Wilson
- Counselor
- El Cajon, CA
National Provider Identifier
1811615545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 134 Park Blvd
El Cajon, CA 92021-4046 - Phone
- (619) 880-0455
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | ID | Primary |
Addresses
Primary practice location
134 Park Blvd
El Cajon, CA 92021-4046
Mailing address
134 Park Blvd
El Cajon, CA 92021-4046
Phone (619) 880-0455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | psalmsofhealing.info |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1811615545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 PARK BLVD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214046",
"telephone_number": "619-880-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 PARK BLVD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214046",
"telephone_number": "619-880-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRISTIAN",
"middle_name": "FAITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "psalmsofhealing.info",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "134 Park Blvd",
"city": "El Cajon",
"state": "CA",
"country_code": "US",
"postal_code": "920214046",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.