Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Lisa Wild, MFT

Individual provider Marriage & Family Therapist · NPI 1699818245

MS. Lisa Wild, MFT is a Marriage and Family Therapist in Oakland, California. Qualified in 1997, 29 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2007
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

770 53rd St
Oakland, CA 94609-1814
Phone: (510) 428-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 747 52nd St, Oakland, CA 94609-1809 — (510) 428-3885

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 37077 (CA)

Record details

NPI number1699818245
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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