MARTENA RACHEL WILSON
NPI 1164073680
Marriage & Family Therapist in Santa Maria, CA

Q: What is Martena Wilson's NPI number?

The NPI number for Martena Wilson is 1164073680. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Q: What is Martena Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Martena Wilson was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 25, 2019PECOS Enrolled

526 E CHAPEL ST, SANTA MARIA, CA 93454(895) 925-8860 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Oct 4, 2019, Sep 25, 2019 (3 updates tracked since 2019).

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About Martena Rachel Wilson NPPES

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

MARTENA RACHEL WILSON (NPI 1164073680) is an individual marriage & family therapist in Santa Maria, California, licensed in California (133052) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164073680

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARTENA RACHEL WILSON

Location Address526 E CHAPEL STSanta Maria, CA 93454-4520

Mailing Address127 N J StLompoc, CA 93436-6742 · (760) 459-9790

Phone(895) 925-8860

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 25, 2019

Last NPPES UpdateJune 6, 20223 updates tracked since enumeration

NPPES CertifiedJune 6, 2022

✔ NPI 1164073680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 133052

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

526 E CHAPEL ST, Santa Maria, CA 93454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martena Rachel Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082104146

PECOS Enrollment IDI20251106003811

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

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