1. Home
  2. Directory
  3. California
  4. Redding
  5. Peer Specialist
  6. NPI Profile

KRISTIN WILSON
NPI 1063113330
Peer Specialist in Redding, CA

Active since March 14, 2023
2640 BRESLAUER WAY, REDDING, CA 96001(530) 225-5200 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kristin Wilson NPPES

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

KRISTIN WILSON (NPI 1063113330) is an individual peer specialist in Redding, California, licensed in California (MPSS-CRZHGO) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1063113330
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRISTIN WILSON
Location Address2640 BRESLAUER WAYRedding, CA 96001-4246
Mailing Address2640 Breslauer WayRedding, CA 96001-4246 · (530) 225-5200
Phone(530) 225-5200
Sole ProprietorNo
Enumeration DateMarch 14, 2023
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1063113330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-CRZHGO
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2640 BRESLAUER WAY, Redding, CA 96001
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DALE L BURLINGAME
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
RACHELLE ELIZABETH LATTER
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
MR. OMAR TEJADA
Clinic/Center (Mental Health (Including Community Mental Health Center))
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5252
ROBIN NELSON
Counselor (Addiction (Substance Use Disorder))
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5900
CAREN LYNN WILDS LCSW
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5973
EDWARD PLAZA
Interpreter
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
KEISHA LYNN PARRICK
Day Training/Habilitation Specialist
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
MICKIE LUBIC
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5900

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 Kristin Wilson's NPI number?

The NPI number for Kristin Wilson is 1063113330. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Where is Kristin Wilson located?

Kristin Wilson practices at 2640 Breslauer Way, Redding, CA 96001. The listed phone number is (530) 225-5200.

What is Kristin Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kristin Wilson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.