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JONATHAN PHILLIP WILSON
NPI 1497176903
Marriage & Family Therapist in Apple Valley, CA

Active since December 31, 2013PECOS EnrolledAccepts Medicare Assignment
20380 SHOSHONEE RD, APPLE VALLEY, CA 92307(760) 617-6722 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Phillip Wilson NPPES

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

JONATHAN PHILLIP WILSON (NPI 1497176903) is an individual marriage & family therapist in Apple Valley, California, licensed in California (86228) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497176903
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJONATHAN PHILLIP WILSON
Location Address20380 SHOSHONEE RDApple Valley, CA 92307-5604
Mailing Address20380 Shoshonee RdApple Valley, CA 92307-5604 · (760) 617-6722
Phone(760) 617-6722
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 31, 2013
Last NPPES UpdateFebruary 8, 2019
✔ NPI 1497176903 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 · 86228
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.
20380 SHOSHONEE RD, Apple Valley, CA 92307
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Phillip Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668816232
PECOS Enrollment IDI20240222001269
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

High Desert Psychological Services
6.2 mi
Psychologist
15497 W SAND ST
Victorville, CA 92392
  • Reassigned Medicare billing, California enrollment
  • 124 clinicians in this Medicare group
NPI 1104463371 (442) 327-9311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jonathan Wilson's NPI number?

The NPI number for Jonathan Wilson is 1497176903. It was assigned to this individual provider in the NPPES registry on December 31, 2013.

Where is Jonathan Wilson located?

Jonathan Wilson practices at 20380 Shoshonee Rd, Apple Valley, CA 92307. The listed phone number is (760) 617-6722.

What is Jonathan Wilson's specialty?

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

Is Jonathan Wilson enrolled in Medicare?

Yes. Jonathan Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wilson reassigns Medicare benefits to High Desert Psychological Services (Victorville, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Wilson was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.