DR. MICKEY WILSON PH.D., LMFT
NPI 1669557641
Marriage & Family Therapist in Newport Beach, CA

Active since October 26, 2006
4000 MACARTHUR BLVD., EAST TOWER, 6TH FLOOR, NEWPORT BEACH, CA 92660(714) 743-5612 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2021, Nov 15, 2019 (2 updates tracked since 2019).

About Dr. Mickey Wilson Ph.d., Lmft NPPES

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

DR. MICKEY WILSON PH.D., LMFT (NPI 1669557641) is an individual marriage & family therapist in Newport Beach, California, licensed in California (49203) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1669557641
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. MICKEY WILSONCredential: PH.D., LMFT
Location Address4000 MACARTHUR BLVD., EAST TOWER, 6TH FLOORNewport Beach, CA 92660-2543
Mailing Address4000 Macarthur Blvd., East Tower, 6th FloorNewport Beach, CA 92660-2543 · (714) 743-5612
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
NPI 1669557641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 49203
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
4000 MACARTHUR BLVD., EAST TOWER, 6TH FLOOR, Newport Beach, CA 92660

Other Names 1

Professional Name (2)Helenemickey Wilson

Other Identifiers 1

Other49203CA · License

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 Mickey Wilson's NPI number?

The NPI number for Mickey Wilson is 1669557641. It was assigned to this individual provider in the NPPES registry on October 26, 2006. The provider is also known as Helenemickey Wilson.

Where is Mickey Wilson located?

Mickey Wilson practices at 4000 Macarthur Blvd., East Tower, 6th Floor, Newport Beach, CA 92660. The listed phone number is (714) 743-5612.

What is Mickey Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mickey Wilson was last updated on August 16, 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.