MR. WILDA ELAINE FERGUNSON MA
NPI 1790912996
Counselor in San Luis Obispo, CA

Q: What is Wilda Fergunson's NPI number?

The NPI number for Wilda Fergunson is 1790912996. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Q: What is Wilda Fergunson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilda Fergunson was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 June 15, 2009

3450 BROAD ST STE 104, SAN LUIS OBISPO, CA 93401(805) 762-4472 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Wilda Elaine Fergunson Ma NPPES

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

MR. WILDA ELAINE FERGUNSON MA (NPI 1790912996) is an individual counselor in San Luis Obispo, California and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1790912996

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMR. WILDA ELAINE FERGUNSONCredential: MA

Location Address3450 BROAD ST STE 104San Luis Obispo, CA 93401-7214

Mailing Address3450 Broad St Ste 104San Luis Obispo, CA 93401-7214 · (805) 762-4472

Phone(805) 762-4472

Sole ProprietorYes

Enumeration DateJune 15, 2009

✔ NPI 1790912996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3450 BROAD ST STE 104, San Luis Obispo, CA 93401

Open in Google Maps ↗

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.

MERCEDES RENEE PARKER

Social Worker

3450 BROAD ST STE 104
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 597-4969

MS. HELEN M SAMPSON LCSW

Social Worker (Clinical)

3450 BROAD ST STE 104
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 547-9680

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 Wilda Fergunson's NPI number?

The NPI number for Wilda Fergunson is 1790912996. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Wilda Fergunson located?

Wilda Fergunson practices at 3450 Broad St Ste 104, San Luis Obispo, CA 93401. The listed phone number is (805) 762-4472.

What is Wilda Fergunson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wilda Fergunson was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.