ELIZABETH WILSON LMFT
NPI 1215309174
Marriage & Family Therapist in Madison, CT

Active since October 30, 2015Opted out of Medicare · through Jun 25, 2028

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 25, 2017, Oct 16, 2016, Dec 3, 2015 (3 updates tracked since 2015).

About Elizabeth Wilson Lmft NPPES

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

ELIZABETH WILSON LMFT (NPI 1215309174) is an individual marriage & family therapist in Madison, Connecticut, licensed in Connecticut (1848) and active in the NPI registry since October 2015. She has opted out of Medicare through June 25, 2028.

NPPES Registry Identity

NPI1215309174
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH WILSONCredential: LMFT
Location Address63 WALL STMadison, CT 06443-3121
Mailing AddressPo Box 179Madison, CT 06443-0179 · (203) 318-4224
Sole ProprietorNo
Enumeration DateOctober 30, 2015
Last NPPES UpdateJanuary 25, 20173 updates tracked since enumeration
NPI 1215309174 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 CT · 1848
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1169 (CT)
63 WALL ST, Madison, CT 06443

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Elizabeth Wilson Lmft 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 June 25, 2026 through June 25, 2028.

Opt-Out Effective DateJune 25, 2026
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
63 WALL ST
MADISON, CT 06443

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 Elizabeth Wilson's NPI number?

The NPI number for Elizabeth Wilson is 1215309174. It was assigned to this individual provider in the NPPES registry on October 30, 2015.

Where is Elizabeth Wilson located?

Elizabeth Wilson practices at 63 Wall St, Madison, CT 06443. The listed phone number is (203) 318-4224.

What is Elizabeth Wilson's specialty?

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

Is Elizabeth Wilson enrolled in Medicare?

No. Elizabeth Wilson has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Wilson accept?

Health plans from Providence Health Plan list Elizabeth Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Wilson was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.