Maila Elisa Wilson, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

131455 Issued in CA

Practice address

1399 Real Way LN
Alpine, CA 91901-3016

Phone

(619) 602-3464

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empathic Pathways Psychology Inc.

  • Mental Health Counselor
  • Alpine, CA
  • NPI 1639954928
  Medicare reassignment NPD Authorized official
• Empathic Pathways Behavioral and Mental Health Foundation

  • Mental Health Counselor
  • Alpine, CA
  • NPI 1780564070
  NPD Authorized official
• Compassion Recovery Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laguna Hills, CA
  • NPI 1710579099
  NPD (past)
• Fusion Care Group, a Psychological Professional Corporation

  • Clinical Psychologist
  • Alpine, CA
  • NPI 1275177982
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1891430666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 REAL WAY LN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013016",
            "telephone_number": "619-602-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 REAL WAY LN",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013016",
            "telephone_number": "619-602-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MAILA",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "131455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bennett Wells, RN
• Jana Welsh, RN
• Jessica R Wilfong, B.A.
• Miranda B Williams, PSY.D.
• Ronnie Williams, AMFT154471 APCC19081
• Alexis Hope Wray, PA
• Tyler Wright, MD
• Roberto Yorton, RN
• Alyssa Marie Zajdel

• Mental Health Counselor in Alpine, CA
• Providers in Alpine, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; 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.

Verify at the official NPI Registry.