TERESA LYNN WILSON (NPI# 1245682392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245682392 |
| Entity Type | Individual |
| Full Name | TERESA LYNN WILSON |
| Practice Address |
6302 Thirteenth Avenue Lucerne CA 95458 |
| Practice Telephone | 7072749101 |
| Mailing Telephone | 7072749101 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643036 | Teresa Wilson | Licensed Practical Nurse | 41 Farm St, Danbury, CT 06811-4612 | 2020-06-16 |
| 1386291326 | Teresa Ann Wilson | Technician | 7104 Arborcrest Dr., Dallas, TX 75232-4010 | 2019-08-23 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1700140480 | Teresa Ann Wilson | Rehabilitation Practitioner | 3150 S Nellis Blvd Apt 1189, Las Vegas, NV 89121-7537 | 2012-06-27 |
| 1861614109 | Teresa Lynne Wilson | Pediatrics | 1315 W Main Ave Ste 13a, Alton, TX 78573-1642 | 2007-05-03 |
| 1457492027 | Teresa Ann Wilson | Nurse Practitioner | 3961 Hillman Ave, Montefiore School Health Clinic, Bronx, NY 10463-3001 | 2007-02-08 |
| 1568515773 | Teresa D Wilson | Registered Nurse | 105 Belview Rd, Leesville, LA 71446-2902 | 2007-01-19 |
| 1750325833 | Teresa K Wilson | Nurse Anesthetist, Certified Registered | 3354 Chantarene Dr, Pensacola, FL 32507-3549 | 2006-06-16 |
| 1023507456 | Teresa Wilson | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2018-05-01 |
| 1295222446 | Teresa Wilson | Counselor | 1 North St, Randolph, MA 02368-4614 | 2018-04-13 |
| Street Address |
6302 THIRTEENTH AVENUE |
| City | LUCERNE |
| State | CA |
| Zip Code | 95458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093871592 | Robyn Carrie Rosin | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2006-12-29 |
| 1740743293 | Holly Heather Austinson | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2019-04-11 |
| 1649513607 | Linda Marie Aldridge | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2013-03-28 |
| 1073851093 | Kelly Larsen | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2013-01-25 |
| 1942551239 | Lesley Robyn Lewis | Registered Nurse | 6302 Thirteenth Avenue, Lucerne, CA 95458-1024 | 2012-09-26 |
| 1346545969 | Christina Marie Drukala | Marriage & Family Therapist | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2011-01-12 |
| 1598934028 | Paul William Hofacker | Psychologist | 6302 Thirteenth Avenue, Lake County Behavioral Health, Lucerne, CA 95458 | 2008-02-28 |
| 1649490111 | Sheila Elaine Roseneau | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458-1024 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527512 | Shawna Dee Theodorou | Case Manager/Care Coordinator | 6302 Thirteeth Ave, Lucerne, CA 95458 | 2019-09-13 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1750848396 | Catherine Denise Miller | Case Manager/Care Coordinator | 6302 13 Th Ave, Lucerne, CA 95458 | 2019-03-01 |
| 1043774193 | Priest Martinez | Counselor | 6300 E Hwy 20 Unit B, Lucerne, CA 95458 | 2019-01-23 |
| 1700308962 | Joao Adeles Barta | Case Manager/Care Coordinator | 6302 Thirteenth Av., Lucerne, CA 95458 | 2017-07-10 |
| 1154872737 | Deborah Annette Schmidt | Licensed Vocational Nurse | 6302 13th Ave., Lucerne, CA 95458 | 2016-10-19 |
| 1922496199 | Pearlina Drummond | Counselor | 3937 Foothill Drive, Lucerne, CA 95458 | 2014-12-22 |
| 1467881672 | Lucerne Elementary | Local Education Agency (LEA) | 3351 Country Club Drive, Lucerne, CA 95458 | 2013-11-07 |
| 1003245960 | Hilltop Recovery Services | Substance Abuse Rehabilitation Facility | 3937 Foothill Dr, Lucerne, CA 95458 | 2013-11-01 |
| 1053618652 | Chris Partida | Counselor | 6302 13th Ave, Lucerne, CA 95458 | 2011-02-16 |
| Find all providers in zip 95458 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265747984 | Jamilyn D Trillo | Counselor | 6302 Thirteenth Ave., Lucerne, CA 95458 | 2010-08-18 |
| 1417015413 | Kevin Lee Thompson | Counselor | 6302 13th Street, Lucerne, CA 95458-8106 | 2006-12-04 |
| 1710332630 | Denyel Braley | Counselor | 6302 Thirteenth Ave., Lucerne, CA 95458 | 2016-04-28 |
| 1861801151 | James William Isherwood IIi | Counselor | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2014-08-12 |
| 1649513607 | Linda Marie Aldridge | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2013-03-28 |
| 1649490111 | Sheila Elaine Roseneau | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458-1024 | 2007-04-26 |
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| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
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| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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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.