ALICE WILKERSON (NPI# 1356312987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356312987 |
| Entity Type | Individual |
| Full Name | ALICE WILKERSON |
| Credential | PH.D. |
| Practice Address |
2762 Electric Rd Suite C Roanoke VA 24018-3582 |
| Practice Telephone | 5407725140 |
| Practice Fax Number | 5407725131 |
| Mailing Telephone | 5407725140 |
| Mailing Fax Number | 5407725131 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC1900X |
Psychologist Specialization: Counseling |
0701000968 | VA | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
0701000968 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2762 ELECTRIC RD SUITE C |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407893639 | Richard Patrick Konstance II | Internal Medicine | 2762 Electric Rd, Roanoke, VA 24018-3582 | 2006-05-31 |
| 1568434991 | Deborah Miller | Counselor | 2762 Electric Rd, Suite C, Roanoke, VA 24018-3582 | 2006-02-01 |
| 1376514992 | John Steven Strosnider | Counselor | 2762 Electric Rd, Suite C, Roanoke, VA 24018-3582 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546213 | Jeffery B Henderson | Psychologist | 950 Highway 431 Ste 1, Roanoke, AL 36274-7314 | 2018-11-13 |
| 1225429442 | Timothy M Lane | Psychologist | 209 Travis St Ste 101, Roanoke, TX 76262-8661 | 2015-02-10 |
| 1114327699 | Wayne Oliver Powell | Psychologist | 3536 Brambleton Ave., Sw, Suite 3, Brambleton Assessment & Counseling Center, Roanoke, VA 24018-3536 | 2014-09-03 |
| 1619022142 | Susan Slate Mathews-duvall | Psychologist | 3959 Electric Rd Ste 210, Roanoke, VA 24018-4507 | 2007-01-24 |
| 1790235158 | Donna Fleming | Psychologist | 209 Travis St, Roanoke, TX 76262-8603 | 2016-10-10 |
| 1902017114 | Doris Eileen Nevin | Psychologist | 3247 Electric Rd, Suite 1-a, Roanoke, VA 24018-6448 | 2007-05-28 |
| 1740251362 | Bruce Sellars | Psychologist | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2006-01-31 |
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|---|---|---|---|---|
| 1154922342 | Ashli Gregory | Psychologist | 10059 Craftons Gate Hwy, Drakes Branch, VA 23937-2647 | 2020-11-04 |
| 1750980421 | Chad Olle | Psychologist | 1020 N Highland St Unit 817, Arlington, VA 22201-2187 | 2020-10-22 |
| 1205447935 | Annalucia Bays | Psychologist | 6005 Fox Den, Williamsburg, VA 23188-7363 | 2020-08-15 |
| 1295356681 | Lina Liw | Psychologist | 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030-2432 | 2020-04-27 |
| 1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
| 1467003715 | Kelly Deneen Heinzman | Psychologist | 1101 Wilson Blvd, Arlington, VA 22209-2211 | 2019-09-26 |
| 1740742345 | James Partch Jr. | Psychologist | 705 Donnington Dr, Chesapeake, VA 23322-7715 | 2019-04-02 |
| 1437642527 | Lauren Beam Ottenhoff | Psychologist | 133 Park St Ne Ste 3b, Vienna, VA 22180-4666 | 2018-06-13 |
| 1710491923 | Saman Berenji | Psychologist | 15 Priscilla Rd, Unit 3, Boston, VA 02135-2019 | 2017-11-27 |
| 1770016461 | Three Leaves Psychological Services LLC | Psychologist | 11307 Sunset Hills Rd, B-4, Reston, VA 20190-5278 | 2017-04-10 |
| 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.