BENJAMIN JOSEPH ROBERT WILSON (NPI# 1245723493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245723493 |
Entity Type | Individual |
Full Name | BENJAMIN JOSEPH ROBERT WILSON |
Credential | CDP |
Practice Address |
1007 Koala Dr Omak WA 98841-9247 |
Practice Telephone | 5098266191 |
Practice Fax Number | 5098266191 |
Mailing Telephone | 5098266191 |
Mailing Fax Number | 5098266191 |
Enumeration Date | 2018-06-12 |
Last Update Date | 2018-06-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60285822 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
1235663204 | Benjamin David Wilson | Student in an Organized Health Care Education/Training Program | 169 16th St Apt 3b, Brooklyn, NY 11215-4415 | 2017-04-17 |
1093257461 | Benjamin Russell Wilson | Counselor | 6461 Dawn Dr, Bellevue, MI 49021-8411 | 2016-11-16 |
1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
1700434636 | Benjamin Martin Wilson | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-09-04 |
1598310088 | Benjamin Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-02 |
1316506959 | Benjamin Montgomery Wilson | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2019-06-07 |
1629539143 | Benjamin Thomas Wilson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2019-03-27 |
1598225583 | Benjamin Frederick Wilson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-25 |
Street Address |
1007 KOALA DR |
City | OMAK |
State | WA |
Zip Code | 98841-9247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
1477185288 | Juan M Rodriguez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-02-10 |
1306486337 | Jennifer Vazquez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-01-07 |
1285273870 | Robbin E Kamphaus | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-12-30 |
1891341756 | Ino Perfecto N Gonzales | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-08-15 |
1841845526 | Amy Allison Alter Jones | Social Worker | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-08-08 |
1417518960 | Diane N Foreman | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-25 |
1811555857 | Jaima Rose Jameson | Peer Specialist | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-04 |
1922661503 | Erica C Garcia | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-04-18 |
1538620901 | Shirley Kuchta | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
1407090996 | Prabath Priyantha Malluwa Wadu | Pharmacist | 617 5th and Benton, Po Box C, Omak, WA 98841 | 2009-04-28 |
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Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
1477185288 | Juan M Rodriguez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-02-10 |
1932603057 | Bryan Jones | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-03-22 |
1801318001 | Kati Kitterman | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2017-07-10 |
1457620924 | Miguel A Sanchez | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2011-12-29 |
1659676823 | Ira Michel | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2011-01-20 |
1285804328 | Gordon Lewis Bordeaux | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2008-03-05 |
1902950827 | Rex Brown | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2007-01-22 |
1548338007 | Priscilla Tragesser Hone | Counselor | 1007 Koala Ave, Omak, WA 98841-9247 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
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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.