KATHLEEN CRESCI WILSON LMFT
NPI 1952477937
Marriage & Family Therapist in Half Moon Bay, CA

Active since November 28, 2006Opted out of Medicare · through Nov 21, 2026
590 MIRAMAR DR, HALF MOON BAY, CA 94019(415) 425-0540(650) 726-9446 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Cresci Wilson Lmft NPPES

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

KATHLEEN CRESCI WILSON LMFT (NPI 1952477937) is an individual marriage & family therapist in Half Moon Bay, California, licensed in California (MFC31094) and active in the NPI registry since November 2006. She has opted out of Medicare through November 21, 2026.

NPPES Registry Identity

NPI1952477937
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHLEEN CRESCI WILSONCredential: LMFT
Location Address590 MIRAMAR DRHalf Moon Bay, CA 94019-5133
Mailing Address590 Miramar DrHalf Moon Bay, CA 94019-5133 · (415) 425-0540 · Fax (650) 726-9446
Fax(650) 726-9446
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1952477937 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 · MFC31094
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.

590 MIRAMAR DR, Half Moon Bay, CA 94019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kathleen Cresci Wilson Lmft 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 November 21, 2024 through November 21, 2026.

Opt-Out Effective DateNovember 21, 2024
Opt-Out In Effect ThroughNovember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kathleen Wilson's NPI number?

The NPI number for Kathleen Wilson is 1952477937. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kathleen Wilson located?

Kathleen Wilson practices at 590 Miramar Dr, Half Moon Bay, CA 94019. The listed phone number is (415) 425-0540.

What is Kathleen Wilson's specialty?

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

Is Kathleen Wilson enrolled in Medicare?

No. Kathleen Wilson has opted out of Medicare through November 21, 2026. 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 Kathleen Wilson was last updated on March 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.