IndividualActive
Melissa Wilson
NPI 1104651462 · Marriage & Family Therapist · Rexburg, ID
Melissa Wilson is a Marriage & Family Therapist provider in Rexburg, ID (NPI 1104651462).
Provider details
- NPI number
- 1104651462
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LMFT-8639 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
591 N 2nd E
Rexburg, ID 83440-3566
Phone: (208) 356-6975
Street-level locationGet directions
Mailing address
140 Alta North Rd
Alta, WY 83414-4576
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Melissa Wilson's NPI number?
- Melissa Wilson's National Provider Identifier (NPI) is 1104651462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Wilson's specialty?
- Melissa Wilson is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Melissa Wilson located?
- Melissa Wilson's practice location on file with NPPES is 591 N 2nd E, Rexburg, ID 83440-3566.
- What is Melissa Wilson's phone number?
- The practice phone number listed in the NPPES registry for Melissa Wilson is (208) 356-6975.
- Is Melissa Wilson's NPI active?
- Yes — Melissa Wilson's NPI (1104651462) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.