ETISHA WILBON LMFT
NPI 1659765618
Marriage & Family Therapist in Fresno, CA

Q: What is Etisha Wilbon's NPI number?

The NPI number for Etisha Wilbon is 1659765618. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Q: What is Etisha Wilbon'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 Etisha Wilbon was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 26, 2015PECOS Enrolled

2550 W CLINTON AVE STE 116, FRESNO, CA 93705(209) 373-5245 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Nov 13, 2018 (2 updates tracked since 2018).

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About Etisha Wilbon Lmft NPPES

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

ETISHA WILBON LMFT (NPI 1659765618) is an individual marriage & family therapist in Fresno, California, licensed in California (103673) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1659765618

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameETISHA WILBONCredential: LMFT

Location Address2550 W CLINTON AVE STE 116Fresno, CA 93705-4206

Mailing Address2550 W. Clinton Ave, Building C, Suite 256Fresno, CA 93705 · (559) 396-9257

Phone(209) 373-5245

Sole ProprietorNo

Enumeration DateMarch 26, 2015

Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1659765618 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 · 103673

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.

2550 W CLINTON AVE STE 116, Fresno, CA 93705

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Secondary Practice Location 1

Location 12181 S El Camino Real Ste 204Oceanside, CA 92054-6288 · Phone (619) 549-0329 ext. 721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etisha Wilbon Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL BRIAN ALMARAZ

Counselor

2550 W CLINTON AVE STE 116
FRESNO, CA 93705

Fresno County (559) 264-7521

MISS PRISCILLA RODRIGUEZ

Counselor (Professional)

2550 W CLINTON AVE STE 116
FRESNO, CA 93705

Fresno County (559) 264-7521

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 Etisha Wilbon's NPI number?

The NPI number for Etisha Wilbon is 1659765618. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Etisha Wilbon located?

Etisha Wilbon practices at 2550 W Clinton Ave Ste 116, Fresno, CA 93705. The listed phone number is (209) 373-5245.

What is Etisha Wilbon's specialty?

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

Is Etisha Wilbon enrolled in Medicare?

Yes. Etisha Wilbon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Etisha Wilbon was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.