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JENNIFER JUNE VILLEGAS WILSON
NPI 1073869673
Marriage & Family Therapist in Sherman Oaks, CA

Active since August 01, 2012Opted out of Medicare · through Jan 20, 2028
14724 VENTURA BLVD FL 10, SHERMAN OAKS, CA 91403(310) 497-2669 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer June Villegas Wilson NPPES

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

JENNIFER JUNE VILLEGAS WILSON (NPI 1073869673) is an individual marriage & family therapist in Sherman Oaks, California, licensed in California (102769) and active in the NPI registry since August 2012. She has opted out of Medicare through January 20, 2028.

NPPES Registry Identity

NPI1073869673
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER JUNE VILLEGAS WILSON
Location Address14724 VENTURA BLVD FL 10Sherman Oaks, CA 91403-3501
Mailing Address14724 Ventura Blvd Fl 10Sherman Oaks, CA 91403-3501 · (310) 497-2669
Phone(310) 497-2669
Sole ProprietorNo
Enumeration DateAugust 1, 2012
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1073869673 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 · 102769
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.
14724 VENTURA BLVD FL 10, Sherman Oaks, CA 91403
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Other Names 1

Former Name (1)Jennifer June Villegas

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer June Villegas Wilson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 20, 2024 through January 20, 2028.

Opt-Out Effective DateJanuary 20, 2024
Opt-Out In Effect ThroughJanuary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1073869673. It was assigned to this individual provider in the NPPES registry on August 1, 2012. The provider is also known as Jennifer June Villegas.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 14724 Ventura Blvd Fl 10, Sherman Oaks, CA 91403. The listed phone number is (310) 497-2669.

What is Jennifer Wilson's specialty?

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

Is Jennifer Wilson enrolled in Medicare?

No. Jennifer Wilson has opted out of Medicare through January 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.