MICHAEL WARREN WILCOX M.A., M.A.
NPI 1619426046
Counselor - Professional in Santa Rosa, CA
About Michael Warren Wilcox M.a., M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL WARREN WILCOX M.A., M.A. (NPI 1619426046) is an individual professional provider in Santa Rosa, California, licensed in California (LPCC8013) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Warren Wilcox M.a., M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Wilcox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95404
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
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 Michael Wilcox's NPI number?
The NPI number for Michael Wilcox is 1619426046. It was assigned to this individual provider in the NPPES registry on September 27, 2016.
Where is Michael Wilcox located?
Michael Wilcox practices at 3554 Round Barn Blvd Ste 212, Santa Rosa, CA 95403. The listed phone number is (707) 571-3778.
What is Michael Wilcox's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Michael Wilcox enrolled in Medicare?
Yes. Michael Wilcox is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Wilcox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wilcox reassigns Medicare benefits to Kendall Individual Family And Marriage Therapists Inc (Santa Rosa, 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 Michael Wilcox'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 Michael Wilcox was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michael Warren Wilcox, M.A., M.A. · NPI 1619426046
Professional provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since September 27, 2016.
## Identity
- **NPI:** 1619426046 (Entity type: Individual)
- **Enumerated:** September 27, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC8013 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3554 ROUND BARN BLVD STE 212, Santa Rosa, CA 95403-0931
- **Phone:** (707) 571-3778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kendall Individual Family And Marriage Therapists Inc (NPI 1740830389, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619426046) · Data from the CMS NPPES public registry.