Active NPI
Kathleen Cresci Wilson, LMFT
- Marriage & Family Therapist
- Half Moon Bay, CA
National Provider Identifier
1952477937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC31094
- Practice address
- 590 Miramar Dr
Half Moon Bay, CA 94019-5133 - Phone
- (415) 425-0540
- Fax
- (650) 726-9446
- NPI assigned
- Nov 28, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC31094 | CA | Primary |
Addresses
Primary practice location
590 Miramar Dr
Half Moon Bay, CA 94019-5133
Mailing address
590 Miramar Dr
Half Moon Bay, CA 94019-5133
Phone (415) 425-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 21, 2024 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC31094 | CA | MD | Marriage & Family Therapist |
| 31094 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1952477937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MIRAMAR DR",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940195133",
"telephone_number": "415-425-0540",
"fax_number": "650-726-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MIRAMAR DR",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940195133",
"telephone_number": "415-425-0540",
"fax_number": "650-726-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KATHLEEN",
"middle_name": "CRESCI",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC31094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.