LEAH WILSON (NPI# 1023337730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023337730 |
| Entity Type | Individual |
| Full Name | LEAH WILSON |
| Credential | LPC |
| Practice Address |
4323 Jefferson Ave Texarkana AR 71854-1515 |
| Mailing Address |
602 N Walton Blvd Bentonville AR 72712-4576 |
| Practice Telephone | 8707330700 |
| Practice Fax Number | 8707330705 |
| Mailing Telephone | 4792716115 |
| Mailing Fax Number | 4792716307 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 10-10AE-PL | AR | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P1503013 | AR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A1107064 | AR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116399726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1134486780 | Leah M Wilson | Internal Medicine | 3181 Sw Sam Jackson Park Rd L579, Ohsu, Portland, OR 97239 | 2012-04-20 |
| 1295382497 | Leah Wilson | Behavior Technician | 1613 Prospect Pkwy, Suite 110, Fort Collins, CO 80525-9769 | 2019-08-22 |
| 1881251031 | Leah Wilson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-05-23 |
| 1982135257 | Leah Wilson | Nurse Practitioner | 388 Commonwealth Ave, Boston, MA 02215-2800 | 2017-03-27 |
| 1497148167 | Leah Wilson | Social Worker | 2401 Scott Ave, Fort Worth, TX 76103-2228 | 2015-03-05 |
| 1487088829 | Leah Jonelle Wilson | Physical Therapist | 832 Princeton Ave Sw, Birmingham, AL 35211 | 2013-08-21 |
| 1528405990 | Leah Wilson | Massage Therapist | 3942 Ivywood Ln, Pueblo, CO 81005-2567 | 2013-05-25 |
| 1710260252 | Leah Wilson | Counselor | 40950 Chapel Way, Fremont, CA 94538-4236 | 2011-09-21 |
| 1033430707 | Leah Wilson | Obstetrics & Gynecology | 328 Shrewsbury St, Ste 100, Worcester, MA 01604-4613 | 2010-06-17 |
| Street Address |
4323 JEFFERSON AVE |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245421502 | Philip Wayne Aaron | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2007-08-01 |
| 1124548839 | Teeauna Hill | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2017-06-23 |
| 1043745656 | Rustin Green | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2017-04-21 |
| 1932550167 | Lakita White | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2016-06-29 |
| 1780035386 | Natalie Clements | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2016-06-24 |
| 1679923924 | Alexandra Walker | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2016-06-17 |
| 1710341425 | Alcanio Shanks | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2016-04-08 |
| 1053789263 | Michelle Davis | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2015-09-03 |
| 1598149726 | Jennifer Langston | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2015-07-17 |
| 1447669940 | Debbie White | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2014-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811553 | Patrizia Lalonde | Counselor | 4140 Mcknight Rd, Texarkana, TX 75503-0921 | 2020-01-30 |
| 1073012712 | Texarkana Counseling Services, LLC | Counselor | 2116 N State Line Ave, Texarkana, AR 71854-3583 | 2018-02-08 |
| 1598124356 | Shavon Lashelle Hill | Counselor | 1305 Arkansas Blvd, Texarkana, AR 71854-1890 | 2016-02-22 |
| 1275918625 | Ashley Freece | Counselor | 2118 N State Line Ave # Ar, Texarkana, AR 71854-3583 | 2015-07-28 |
| 1538419171 | Barbara Ann Page | Counselor | 602 Pine St, Texarkana, TX 75501-5517 | 2012-09-11 |
| 1598941361 | Robert Reed Hervey | Counselor | 64 Sam Thomas Rd, # 7, Texarkana, TX 75501-2101 | 2008-01-11 |
| 1245421502 | Philip Wayne Aaron | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2007-08-01 |
| 1104944883 | Shannon Camp Hicks | Counselor | 1202 N Stateline, Texarkana, AR 71854-4969 | 2007-03-27 |
| 1275610024 | Gloria J Cunningham | Counselor | 1400 College Dr. Ste 204, Texarkana, TX 75503 | 2006-11-01 |
| 1720173123 | Jennifer Turner | Counselor | 5013 Pincrest Circle, Texarkana, AR 71854 | 2006-10-03 |
| Find all providers in TEXARKANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.