Active NPI
Patrcia Wilson, MA, LMFT
- Marriage & Family Therapist
- Newberg, OR
National Provider Identifier
1982159489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T2401
- Practice address
- 200 E Foothills Dr
Newberg, OR 97132-9039 - Phone
- (971) 412-4052
- NPI assigned
- Aug 24, 2016
- 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 | T2401 | OR | Primary |
Addresses
Primary practice location
200 E Foothills Dr
Newberg, OR 97132-9039
Mailing address
1002A N Springbrook Rd Ste 314
Newberg, OR 97132-2024
Phone (971) 412-0452
Other practice location 1
200 E Foothills Dr
Newberg, OR 97132-9039
Phone (971) 412-0452
Other names 1
- Trisha Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 30, 2024 through Mar 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2401 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1982159489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002A N SPRINGBROOK RD STE 314",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322024",
"telephone_number": "971-412-0452",
"fax_number": "971-231-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E FOOTHILLS DR",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971329039",
"telephone_number": "971-412-4052"
}
],
"practiceLocations": [
{
"address_1": "200 E Foothills Dr",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971329039",
"country_code": "US",
"telephone_number": "971-412-0452",
"fax_number": "971-231-0235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "PATRCIA",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "WILSON",
"credential": "MA, LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.