Active NPI
Paul Wilcox, LMFT
- Marriage & Family Therapist
- Carlsbad, CA
National Provider Identifier
1861103293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT136207
- Practice address
- 785 Grand Ave Ste 212
Carlsbad, CA 92008-2371 - Phone
- (760) 453-7175
- NPI assigned
- Dec 6, 2022
- Sex
- Male
- 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 | LMFT136207 | CA | Primary |
Addresses
Primary practice location
785 Grand Ave Ste 212
Carlsbad, CA 92008-2371
Mailing address
547 Boysenberry Way
Oceanside, CA 92057-4614
Phone (949) 280-1676
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.adrwellness.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
785 Grand Ave
Suite 212
Carlsbad, CA 92008-2371
Phone (760) 453-7175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT136207 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adr Wellness a Professional Psychology Corporation | Current | Accepting new patients |
Locations
785 Grand Ave
Ste 212
Carlsbad, CA 92008
Phone (760) 453-7175
785 Grand Ave
Ste 101
Carlsbad, CA 92008
Phone (760) 720-4964
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.
-
- Psychiatry Physician
- Carlsbad, CA
- NPI 1073028742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1861103293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 BOYSENBERRY WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920574614",
"telephone_number": "949-280-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 GRAND AVE STE 212",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082371",
"telephone_number": "760-453-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "PAUL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT136207",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.adrwellness.com",
"affiliation": "N",
"address_1": "785 Grand Ave Ste 212",
"city": "Carlsbad",
"state": "CA",
"country_code": "US",
"postal_code": "920082371",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.