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ANDREW TYLER WILSON
NPI 1114549888
Marriage & Family Therapist in Santa Rosa, CA

Active since May 15, 2020
1101 COLLEGE AVE STE 250, SANTA ROSA, CA 95404(707) 568-2300 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, May 15, 2020 (2 updates tracked since 2020).

About Andrew Tyler Wilson NPPES

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

ANDREW TYLER WILSON (NPI 1114549888) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (152691) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1114549888
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameANDREW TYLER WILSON
Location Address1101 COLLEGE AVE STE 250Santa Rosa, CA 95404-3952
Mailing AddressPo Box 4Santa Rosa, CA 95402-0004 · (415) 847-1534
Phone(707) 568-2300
Sole ProprietorNo
Enumeration DateMay 15, 2020
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1114549888 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 · 152691
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.
1101 COLLEGE AVE STE 250, Santa Rosa, CA 95404
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Other Providers at the Same Location NPPES

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

ALEXIS RENEE PURUGGANAN
Social Worker (Clinical)
1101 COLLEGE AVE STE 250
SANTA ROSA, CA 95404
Sonoma County (707) 321-2313

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 Andrew Wilson's NPI number?

The NPI number for Andrew Wilson is 1114549888. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Andrew Wilson located?

Andrew Wilson practices at 1101 College Ave Ste 250, Santa Rosa, CA 95404. The listed phone number is (707) 568-2300.

What is Andrew 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 Andrew Wilson was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.