HOLLAND WILSON LMFT
NPI 1245471846
Marriage & Family Therapist in Jackson, WY

Q: What is Holland Wilson's NPI number?

The NPI number for Holland Wilson is 1245471846. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Q: What is Holland Wilson's specialty?

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

Q: Is Holland Wilson enrolled in Medicare?

No. Holland Wilson has opted out of Medicare through February 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Holland Wilson was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 12, 2009Opted out of Medicare · through Feb 18, 2027

310 E BROADWAY AVE, JACKSON, WY 83001(307) 654-7003(307) 224-4973 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Holland Wilson Lmft NPPES

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

HOLLAND WILSON LMFT (NPI 1245471846) is an individual marriage & family therapist in Jackson, Wyoming, licensed in Wyoming (130) and active in the NPI registry since March 2009. She has opted out of Medicare through February 18, 2027.

NPPES Registry Identity

NPI1245471846

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameHOLLAND WILSONCredential: LMFT

Location Address310 E BROADWAY AVEJackson, WY 83001-8636

Mailing AddressPo Box 3850Alpine, WY 83128-3841 · (307) 248-1497 · Fax (307) 224-4973

Phone(307) 654-7003

Fax(307) 224-4973

Sole ProprietorYes

Enumeration DateMarch 12, 2009

Last NPPES UpdateMarch 2, 2016

✔ NPI 1245471846 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 WY · 130

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.

310 E BROADWAY AVE, Jackson, WY 83001

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Holland 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 February 18, 2025 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2025

Opt-Out In Effect ThroughFebruary 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

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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.

LEAH BLACK LCSW

Social Worker (Clinical)