Active NPI
Cara Lynn Wilkerson, LMFT
- Marriage & Family Therapist
- Idyllwild, CA
National Provider Identifier
1821280983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50531
- 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, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 50531 | CA | MD | Marriage & Family Therapist |
| MT3622 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Marriage and Family Therapy Corp. | Marriage & Family Therapist | Current | Accepting new patients |
| Cornerstone Psychotherapy Group LLC | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Idyllwild, CA
- NPI 1497352405
-
- Marriage & Family Therapist
- Idyllwild, CA
- NPI 1851938500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.