MARISSA WILSON LMFT
NPI 1437667383
Marriage & Family Therapist in San Luis Obispo, CA

Q: What is Marissa Wilson's NPI number?

The NPI number for Marissa Wilson is 1437667383. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Q: What is Marissa 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 Marissa Wilson was last updated on November 30, 2021. 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 January 12, 2018

1255 KENDALL RD, SAN LUIS OBISPO, CA 93401(805) 781-3535 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Jan 8, 2020, Dec 23, 2019 and 3 more (6 updates tracked since 2018).

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About Marissa Wilson Lmft NPPES

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

MARISSA WILSON LMFT (NPI 1437667383) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (129324) and active in the NPI registry since January 2018. She maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1437667383

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARISSA WILSONCredential: LMFT

Location Address1255 KENDALL RDSan Luis Obispo, CA 93401

Mailing Address4745 Hidalgo AveAtascadero, CA 93422-3551 · (805) 423-2717

Phone(805) 781-3535

Sole ProprietorNo

Enumeration DateJanuary 12, 2018

Last NPPES UpdateNovember 30, 20216 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1437667383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 129324

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 · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

1255 KENDALL RD, San Luis Obispo, CA 93401

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Secondary Practice Location 1

Location 1301 S Miller St Ste 121Santa Maria, CA 93454-5243 · Phone (805) 925-5470

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.

JOSE DE JESUS EULLOQUI

Counselor