DR. EARNEST JEFFERY WILES (NPI# 1184794620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184794620 |
| Entity Type | Individual |
| Full Name | DR. EARNEST JEFFERY WILES |
| Credential | PH.D. |
| Practice Address |
9845 Horn Road Suite 190 Sacramento CA 95827-2563 |
| Practice Telephone | 9163298555 |
| Practice Fax Number | 9164764193 |
| Mailing Telephone | 9163298555 |
| Mailing Fax Number | 9164764193 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCC302 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9845 HORN ROAD SUITE 190 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319325 | Jeffrey W. Danese | Counselor | 2714 Edison Ave, Sacramento, CA 95821-2421 | 2020-02-22 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1164716585 | Sara Garrow Ruebelt | Counselor | 3800 Auburn Blvd Ste C, Sacramento, CA 95821-2132 | 2011-06-02 |
| 1427353499 | Linda Lee Sessions | Counselor | 2755 Cottage Way Ste 7, Sacramento, CA 95825 | 2011-01-21 |
| 1700038494 | Tina L. Hernandez-berry | Counselor | 3020 I St, 2nd Floor, Sacramento, CA 95816-4428 | 2008-10-14 |
| 1043420961 | Darcy Sullivan Clarke | Counselor | 506 Pine Garden Ln, #d, Sacramento, CA 95825-5512 | 2007-05-22 |
| 1417178195 | Amanda Nugent Divine | Counselor | 3780 Rosin Ct, Suite 110, Sacramento, CA 95834-1646 | 2007-05-01 |
| 1780737189 | Deborah Leah Thacker-rose | Counselor | 3700 Business Dr, Sacramento, CA 95820-2164 | 2007-01-19 |
| 1063521763 | Julie C. Kelly | Counselor | 3307 Broadway, Suite 200, Sacramento, CA 95817-2821 | 2006-08-29 |
| 1992724934 | Crisara Creative Therapy, LLC | Counselor | 7000 Franklin Boulevard, Suite 350, Sacramento, CA 95823-1839 | 2006-07-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on DR. EARNEST JEFFERY WILES.
| 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.