MS. KELLY P WILDOWSKY
NPI 1750933735
Marriage & Family Therapist in Lompoc, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since July 10, 2019PECOS Enrolled

101 S B ST, LOMPOC, CA 93436(805) 667-7486 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Kelly P Wildowsky NPPES

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

MS. KELLY P WILDOWSKY (NPI 1750933735) is an individual marriage & family therapist in Lompoc, California, licensed in California (110520) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750933735

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. KELLY P WILDOWSKY

Location Address101 S B STLompoc, CA 93436-6933

Mailing Address101 S B StLompoc, CA 93436-6933 · (805) 667-7486

Phone(805) 667-7486

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 10, 2019

✔ NPI 1750933735 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 · 110520

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.

101 S B ST, Lompoc, CA 93436

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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 (PECOS)

Ms. Kelly P Wildowsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830698158

PECOS Enrollment IDI20250814003766

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.