MRS. BIANCA MICHELLE WILSON
NPI 1043405525
Marriage & Family Therapist in San Rafael, CA

Active since September 07, 2007
10 N SAN PEDRO RD STE 1020, SAN RAFAEL, CA 94903(415) 473-4306(415) 473-4307 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2018, Feb 10, 2017 (2 updates tracked since 2017).

About Mrs. Bianca Michelle Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BIANCA MICHELLE WILSON (NPI 1043405525) is an individual marriage & family therapist in San Rafael, California, licensed in California (59219) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1043405525
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. BIANCA MICHELLE WILSON
Location Address10 N SAN PEDRO RD STE 1020San Rafael, CA 94903-4155
Mailing Address3217 Cohasset RdChico, CA 95973-5404 · (530) 879-2456 · Fax (530) 879-3932
Fax(415) 473-4307
Sole ProprietorNo
Enumeration DateSeptember 7, 2007
Last NPPES UpdateMarch 30, 20182 updates tracked since enumeration
NPI 1043405525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 59219
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10 N SAN PEDRO RD STE 1020, San Rafael, CA 94903

Other Identifiers 2

Other05-1063CA · Fqhc Medicare Part A
OtherZZZ29799ZCA · Fqhc Medicare Part B

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10 N SAN PEDRO RD STE 1020
SAN RAFAEL, CA 94903
Clinic/Center (Mental Health (Including Community Mental Health Center))
10 N SAN PEDRO RD STE 1020
SAN RAFAEL, CA 94903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Wilson's NPI number?

The NPI number for Bianca Wilson is 1043405525. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Bianca Wilson located?

Bianca Wilson practices at 10 N San Pedro Rd Ste 1020, San Rafael, CA 94903. The listed phone number is (415) 473-4306.

What is Bianca Wilson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Bianca Wilson was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.