MRS. AMBER WILSON LMFT
NPI 1679645089
Marriage & Family Therapist in Lathrop, CA

Q: What is Amber Wilson's NPI number?

The NPI number for Amber Wilson is 1679645089. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Amber Wilson'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 Amber Wilson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 14, 2006PECOS EnrolledAccepts Medicare Assignment

17000 S HARLAN RD, LATHROP, CA 95330(209) 647-7586 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Amber Wilson Lmft NPPES

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

MRS. AMBER WILSON LMFT (NPI 1679645089) is an individual marriage & family therapist in Lathrop, California, licensed in California (MFC 53252) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679645089

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. AMBER WILSONCredential: LMFT

Location Address17000 S HARLAN RDLathrop, CA 95330-8738

Mailing AddressPo Box 577162Modesto, CA 95357-7162 · (209) 647-7586

Phone(209) 647-7586

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateNovember 14, 2006

Last NPPES UpdateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1679645089 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 · MFC 53252

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.

17000 S HARLAN RD, Lathrop, CA 95330

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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 and accepts Medicare assignment

Mrs. Amber Wilson Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830541895

PECOS Enrollment IDI20240116002207

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 12

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

MS. VIVIAN A SINGLETON LMFT

Marriage & Family Therapist