MRS. STEPHANIE LOUISE WILSON LMFT
NPI 1992380679
Marriage & Family Therapist in Richmond, VA

Q: What is Stephanie Wilson's NPI number?

The NPI number for Stephanie Wilson is 1992380679. It was assigned to this individual provider in the NPPES registry on March 14, 2021.

Q: What is Stephanie 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 Stephanie Wilson was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 14, 2021PECOS EnrolledAccepts Medicare Assignment

6010 W BROAD ST STE 103, RICHMOND, VA 23230(804) 282-1863 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2021, Mar 14, 2021 (2 updates tracked since 2021).

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About Mrs. Stephanie Louise Wilson Lmft NPPES

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

MRS. STEPHANIE LOUISE WILSON LMFT (NPI 1992380679) is an individual marriage & family therapist in Richmond, Virginia, licensed in Virginia (0717001541) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1992380679

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. STEPHANIE LOUISE WILSONCredential: LMFT

Location Address6010 W BROAD ST STE 103Richmond, VA 23230-2215

Mailing Address6010 W Broad St Ste 103Richmond, VA 23230-2215 · (804) 282-1863

Phone(804) 282-1863

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 14, 2021

Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1992380679 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 VA · 0717001541

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.

6010 W BROAD ST STE 103, Richmond, VA 23230

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stephanie Louise Wilson Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759733553

PECOS Enrollment IDI20240117002544

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.

Other Providers at the Same Location NPPES 9

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

ABIGAIL S HEBNER

Nurse Practitioner (Psychiatric/Mental Health)