Individual provider Active NPI

Patrcia Wilson, MA, LMFT

  • Marriage & Family Therapist
  • Newberg, OR
National Provider Identifier
1982159489
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2401 Issued in OR
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

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
T2401ORMDMarriage & 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

Verify at the official NPI Registry.