ROXANNE WILSON


Address: 1115 W Chestnut St, Suite 101, Brockton, MA 02301-7501
Phone: 5085212287

ROXANNE WILSON (NPI# 1265981427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265981427
Entity Type Individual
Full Name ROXANNE WILSON
Practice Address 1115 W Chestnut St
Suite 101
Brockton
MA 02301-7501
Practice Telephone 5085212287
Practice Fax Number 5085805162
Enumeration Date 2016-09-29
Last Update Date 2016-09-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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Office Location

Street Address 1115 W CHESTNUT ST
SUITE 101
City BROCKTON
State MA
Zip Code 02301-7501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912942202 Daniel Omoayo Social Worker 1115 W Chestnut St, Brockton, MA 02301-7501 2006-06-19
1861091647 Brandi Danielle Pace Developmental Therapist 1115 W Chestnut St, Brockton, MA 02301-7501 2020-10-22
1851905343 James Thomas Stewart IIi Counselor 1115 W Chestnut St, Brockton, MA 02301-7501 2020-09-02
1336750397 Jacqueline Grant Social Worker 1115 W Chestnut St, Brockton, MA 02301-7501 2020-08-13
1821611047 Peyton Mayzel Counselor 1115 W Chestnut St, Brockton, MA 02301-7501 2020-05-21
1477186658 Rebecca Bruno Counselor 1115 W Chestnut St, Brockton, MA 02301-7501 2020-02-17
1255975116 Elizabeth Mary Lawlor Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2019-11-04
1437790615 Meredith Lincoln Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2019-09-30
1164073441 Marissa Ann Bragg Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2019-09-27
1487205316 Alexmira Andrade Monteiro Behavior Technician 1115 W Chestnut St, Brockton, MA 02301-7501 2019-09-23
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Providers in the same zip code

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1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1184222531 Antoinett Gomes Counselor 11 Battles St Apt 3, Brockton, MA 02301-2236 2020-10-16
1316545510 Leonard Paul Dagesse Counselor 51 Gladstone St, Brockton, MA 02302-3338 2020-10-12
1962014936 Tjocelyne Counseling & Consulting Clinic LLC Counselor 425 Pleasant St Ste 102, Brockton, MA 02301-2533 2020-08-20
1841801461 Peaceful Healing Soul Counseling Center, LLC Counselor 130 Spring St Apt 2, Brockton, MA 02301-4371 2020-08-17
1487271573 Ruth Abraham Mentor Counselor 114 Sinclair Rd, Brockton, MA 02302-4451 2020-07-06
1508492661 Carlos G Semedo Counselor 93 Myrtle St, Brockton, MA 02301-6139 2020-03-20
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1730724931 Izaiah Dimanche-silva Counselor 5 Addison St, Brockton, MA 02301-1401 2019-11-12
1700427804 Jessica Roberts Counselor 117 Colonel Bell Dr Apt 6, Brockton, MA 02301-1965 2019-10-01
1003460031 Krista Hojlo Counselor 67 Brian Dr, Brockton, MA 02301-4601 2019-07-29
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

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.

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