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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAVANNAH WILSON
NPI 1528629615
Marriage & Family Therapist in Oakland, CA

Active since June 27, 2019PECOS Enrolled
269 VERNON ST APT 2A, OAKLAND, CA 94610(650) 376-4230 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Aug 14, 2025, Jun 11, 2020 (3 updates tracked since 2020).

About Savannah Wilson NPPES

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

SAVANNAH WILSON (NPI 1528629615) is an individual marriage & family therapist in Oakland, California, licensed in California (156572) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528629615
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSAVANNAH WILSON
Location Address269 VERNON ST APT 2AOakland, CA 94610-4182
Mailing Address906 Gallatin St Nw Unit 103Washington, DC 20011-3950 · (510) 224-5791
Phone(650) 376-4230
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2019
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1528629615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 156572✔ Licensed in FL · TPMF1984
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.
269 VERNON ST APT 2A, Oakland, CA 94610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4385100023
PECOS Enrollment IDI20260731004830
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.

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 Savannah Wilson's NPI number?

The NPI number for Savannah Wilson is 1528629615. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Savannah Wilson located?

Savannah Wilson practices at 269 Vernon St Apt 2A, Oakland, CA 94610. The listed phone number is (650) 376-4230.

What is Savannah Wilson's specialty?

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

Is Savannah Wilson enrolled in Medicare?

Yes. Savannah Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Savannah Wilson was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.