TERESA LOVE WILSON L.P.C.C.
NPI 1992132757
Counselor - Professional in Ukiah, CA

Q: What is Teresa Wilson's NPI number?

The NPI number for Teresa Wilson is 1992132757. It was assigned to this individual provider in the NPPES registry on October 10, 2013.

Q: What is Teresa Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Wilson was last updated on March 8, 2023. 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 10, 2013PECOS Enrolled

631 S ORCHARD AVE, UKIAH, CA 95482(707) 472-2922(707) 467-4999 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2023, Apr 19, 2019 (2 updates tracked since 2019).

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About Teresa Love Wilson L.p.c.c. NPPES

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

TERESA LOVE WILSON L.P.C.C. (NPI 1992132757) is an individual professional provider in Ukiah, California, licensed in California (PCI304) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992132757

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTERESA LOVE WILSONCredential: L.P.C.C.

Location Address631 S ORCHARD AVEUkiah, CA 95482-5011

Mailing AddressP.o. Box 422Ukiah, CA 95482 · (707) 467-2000 · Fax (707) 467-4999

Phone(707) 472-2922

Fax(707) 467-4999

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 10, 2013

Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration

NPPES CertifiedMarch 8, 2023

✔ NPI 1992132757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · PCI304

631 S ORCHARD AVE, Ukiah, CA 95482

Open in Google Maps ↗

Secondary Practice Locations 2

Location 199 S Humboldt StWillits, CA 95490-3509 · Phone (707) 459-9900

Location 29495 Main St # 6Upper Lake, CA 95485-9603 · Phone (707) 513-9662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Love Wilson L.p.c.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143710269

PECOS Enrollment IDI20251106004565

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Redwood Community Services, Inc

Same address

Foster Care Agency

631 S ORCHARD AVE
Ukiah, CA 95482

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1558702795 (707) 467-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ASHLEY CHRISTINA CLAY

Community Health Worker