Individual provider Active NPI

Jill Marie Wilson, MS MFT

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1982870085
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39228 Issued in WI
Practice address
3200 West Highland Blvd
Auora Family Services
Milwaukee, WI 53208-0440
Phone
(414) 345-3080
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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 39228 WI Primary

Addresses

Primary practice location

3200 West Highland Blvd
Auora Family Services
Milwaukee, WI 53208-0440

Mailing address

3200 West Highland Blvd
Auora Family Services
Milwaukee, WI 53208-0440
Phone (414) 345-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39228WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1982870085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST HIGHLAND BLVD",
            "address_2": "AUORA FAMILY SERVICES",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532080440",
            "telephone_number": "414-345-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WEST HIGHLAND BLVD",
            "address_2": "AUORA FAMILY SERVICES",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532080440",
            "telephone_number": "414-345-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "39228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.