JENNIFER MARY WILSON LMFT
NPI 1760108245
Counselor - Mental Health in Boulder Creek, CA

Q: What is Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1760108245. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Q: What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on October 17, 2022. 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 October 17, 2022

12895 HIGHWAY 9, BOULDER CREEK, CA 95006(720) 297-5023 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Mary Wilson Lmft NPPES

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

JENNIFER MARY WILSON LMFT (NPI 1760108245) is an individual mental health provider in Boulder Creek, California, licensed in Colorado (MFT.0001601) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1760108245

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER MARY WILSONCredential: LMFT

Location Address12895 HIGHWAY 9Boulder Creek, CA 95006-9114

Mailing Address12895 Highway 9Boulder Creek, CA 95006-9114 · (720) 297-5023

Phone(720) 297-5023

Sole ProprietorYes

Enumeration DateOctober 17, 2022

NPPES CertifiedOctober 16, 2022

✔ NPI 1760108245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CO · MFT.0001601

12895 HIGHWAY 9, Boulder Creek, CA 95006

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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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1760108245. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 12895 Highway 9, Boulder Creek, CA 95006. The listed phone number is (720) 297-5023.

What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on October 17, 2022. 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.