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LACY ANN WILDENBERG
NPI 1669722880
Marriage & Family Therapist in Watsonville, CA

Active since September 14, 2012
335 E LAKE AVE, WATSONVILLE, CA 95076(831) 728-6445 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacy Ann Wildenberg NPPES

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

LACY ANN WILDENBERG (NPI 1669722880) is an individual marriage & family therapist in Watsonville, California, licensed in California (117285) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1669722880
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLACY ANN WILDENBERG
Location Address335 E LAKE AVEWatsonville, CA 95076-4826
Mailing Address335 E Lake AveWatsonville, CA 95076-4826 · (831) 728-6445
Phone(831) 728-6445
Sole ProprietorNo
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1669722880 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 · 117285
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.
335 E LAKE AVE, Watsonville, CA 95076
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Other Providers at the Same Location NPPES 20

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

MICHAEL GONG
Counselor (Addiction (Substance Use Disorder))
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
JANE KIM
Marriage & Family Therapist
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
MR. ERIC C BRUCKNER MFTI
Counselor (Mental Health)
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
TERRESA LAUER
Counselor (Mental Health)
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
CINTHIA NOLLENBERGER
Counselor (Mental Health)
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
ROBIN HEERENS LYSNE M.A.
Counselor (Addiction (Substance Use Disorder))
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
LENA AXELSSON
Marriage & Family Therapist
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445
JONATHAN P BRIGGS
Counselor (Addiction (Substance Use Disorder))
335 E LAKE AVE
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-6445

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 Lacy Wildenberg's NPI number?

The NPI number for Lacy Wildenberg is 1669722880. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Lacy Wildenberg located?

Lacy Wildenberg practices at 335 E Lake Ave, Watsonville, CA 95076. The listed phone number is (831) 728-6445.

What is Lacy Wildenberg'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 Lacy Wildenberg was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.