Individual provider Active NPI

Cara Lynn Wilkerson, LMFT

  • Marriage & Family Therapist
  • Idyllwild, CA
National Provider Identifier
1821280983
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50531 Issued in CA
Practice address
54425 N Circle Drive
Unit 9 and 10
Idyllwild, CA 92549-9254
Phone
(760) 207-7486
NPI assigned
Aug 13, 2007
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X MT3622 FL
Marriage & Family Therapist 106H00000X 50531 CA Primary

Addresses

Primary practice location

54425 N Circle Drive
Unit 9 and 10
Idyllwild, CA 92549-9254

Mailing address

P.O. Box 3519
Idyllwild, CA 92549
Phone (760) 207-7486

Other practice location 1

54240 Ridgeview Dr.
Idyllwild, CA 92549
Phone (760) 207-7486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50531CAMDMarriage & Family Therapist
MT3622FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Marriage and Family Therapy Corp. Marriage & Family Therapist CurrentSince Oct 4, 2020 Accepting new patients
Cornerstone Psychotherapy Group LLC Marriage & Family Therapist CurrentSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1821280983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3519",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "92549",
            "telephone_number": "760-207-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54425 N CIRCLE DRIVE",
            "address_2": "UNIT 9 AND 10",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925499254",
            "telephone_number": "760-207-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54240 Ridgeview Dr.",
            "address_purpose": "LOCATION",
            "city": "Idyllwild",
            "state": "CA",
            "postal_code": "92549",
            "country_code": "US",
            "telephone_number": "760-207-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3622",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idyllwild, CA

Sources for this page

Verify at the official NPI Registry.