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

Q: What is Kelly Wildowsky's NPI number?

The NPI number for Kelly Wildowsky is 1750933735. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Kelly Wildowsky'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 Kelly Wildowsky was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 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: August 16, 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.

Other Providers at the Same Location NPPES 19

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

XIMENA JOHNSTON ACSW

Social Worker (Clinical)

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 325-3318

MRS. KIERA ELIZABETH BERRY LCSW

Social Worker (Clinical)

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 735-4376

LORENZA VLAHOS

Marriage & Family Therapist

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 588-9867

ISAAC DEL CASTILLO

Social Worker

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 735-4376

MRS. DEVONIA MELITA ERKINS APCC

Counselor (Mental Health)

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 335-4135

MARIA CLEMENCIA NAVARRO

Case Manager/Care Coordinator

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 735-4376

ASHLEY RENEE BRANSON

Marriage & Family Therapist

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 735-4376

FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY

Clinic/Center (Adolescent and Children Mental Health)

101 S B ST
LOMPOC, CA 93436

Santa Barbara County (805) 735-4376

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 Kelly Wildowsky's NPI number?

The NPI number for Kelly Wildowsky is 1750933735. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Kelly Wildowsky located?

Kelly Wildowsky practices at 101 S B St, Lompoc, CA 93436. The listed phone number is (805) 667-7486.

What is Kelly Wildowsky's specialty?

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

Is Kelly Wildowsky enrolled in Medicare?

Yes. Kelly Wildowsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Wildowsky was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.