Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA NICOLE WILSON MS, AMFT, APCC
NPI 1902785884
Marriage & Family Therapist in Roseville, CA

Q: What is Breanna Wilson's NPI number?

The NPI number for Breanna Wilson is 1902785884. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Q: What is Breanna Wilson'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 Breanna Wilson was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 August 27, 2025

1382 BLUE OAKS BLVD STE 213, ROSEVILLE, CA 95678(877) 412-8031 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2026, Apr 3, 2026 (2 updates tracked since 2026).

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About Breanna Nicole Wilson Ms, Amft, Apcc NPPES

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

BREANNA NICOLE WILSON MS, AMFT, APCC (NPI 1902785884) is an individual marriage & family therapist in Roseville, California, licensed in California (163437) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1902785884

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameBREANNA NICOLE WILSONCredential: MS, AMFT, APCC

Location Address1382 BLUE OAKS BLVD STE 213Roseville, CA 95678-7052

Mailing Address1382 Blue Oaks Blvd Ste 213Roseville, CA 95678-7052 · (877) 412-8031

Phone(877) 412-8031

Sole ProprietorNo

Enumeration DateAugust 27, 2025

Last NPPES UpdateAugust 2, 20262 updates tracked since enumeration

NPPES CertifiedAugust 2, 2026

✔ NPI 1902785884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 163437

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 22661 (CA)

Also ListedHealth and Wellness CoachTaxonomy 171400000X · License F52B75186E (CA)

1382 BLUE OAKS BLVD STE 213, Roseville, CA 95678

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Other Providers at the Same Location NPPES 20

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

NIKKI LANE

Counselor (Mental Health)