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BARBARA WILSON
NPI 1790347805
Marriage & Family Therapist in Los Angeles, CA

Active since June 28, 2019Opted out of Medicare · through Feb 8, 2028
11911 SAN VICENTE BLVD STE 270, LOS ANGELES, CA 90049(310) 471-7420 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Barbara Wilson NPPES

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

BARBARA WILSON (NPI 1790347805) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFT31170) and active in the NPI registry since June 2019. She has opted out of Medicare through February 8, 2028.

NPPES Registry Identity

NPI1790347805
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBARBARA WILSON
Location Address11911 SAN VICENTE BLVD STE 270Los Angeles, CA 90049-6634
Mailing Address11911 San Vicente Blvd Ste 270Los Angeles, CA 90049-6634 · (310) 471-7420
Phone(310) 471-7420
Sole ProprietorYes
Enumeration DateJune 28, 2019
✔ NPI 1790347805 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 · MFT31170
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.

11911 SAN VICENTE BLVD STE 270, Los Angeles, CA 90049
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Barbara Wilson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 8, 2024 through February 8, 2028.

Opt-Out Effective DateFebruary 8, 2024
Opt-Out In Effect ThroughFebruary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

MRS. STACEY MICHELLE LURIE LCSW
Social Worker (Clinical)
11911 SAN VICENTE BLVD STE 270
LOS ANGELES, CA 90049
Los Angeles County (323) 905-2322
MADELINE GRACE MOERSCH LCSW
Social Worker (Clinical)
11911 SAN VICENTE BLVD STE 270
LOS ANGELES, CA 90049
Los Angeles County (213) 221-3893

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 Barbara Wilson's NPI number?

The NPI number for Barbara Wilson is 1790347805. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Barbara Wilson located?

Barbara Wilson practices at 11911 San Vicente Blvd Ste 270, Los Angeles, CA 90049. The listed phone number is (310) 471-7420.

What is Barbara Wilson's specialty?

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

Is Barbara Wilson enrolled in Medicare?

No. Barbara Wilson has opted out of Medicare through February 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Barbara Wilson was last updated on June 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.