EVELYN TERRY WICKS (NPI# 1427211465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427211465 |
Entity Type | Individual |
Full Name | EVELYN TERRY WICKS |
Credential | DUI |
Practice Address |
11960 Heritage Oak Pl Ste 15 Auburn CA 95603-2401 |
Practice Telephone | 5308851961 |
Practice Fax Number | 5308850713 |
Mailing Telephone | 5308851961 |
Mailing Fax Number | 5308850713 |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
W0408271744 | Behavioral Health & Social Service Providers |
Street Address |
11960 HERITAGE OAK PL STE 15 |
City | AUBURN |
State | CA |
Zip Code | 95603-2401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215131206 | Sierra Council On Alcoholism & Drug Dependence | Counselor | 11960 Heritage Oak Pl, Suite 15, Auburn, CA 95603-2401 | 2007-06-13 |
1548635451 | Amy K Holthaus | Physical Therapist | 11960 Heritage Oak Pl, Suite 19, Auburn, CA 95603-2401 | 2015-12-02 |
1881944080 | Pes-ebs.inc. | Counselor | 11960 Heritage Oak Pl, Ste 7, Auburn, CA 95603-2401 | 2012-09-14 |
1487902151 | Pes-ebs.inc. | Counselor | 11960 Heritage Oak Pl, Ste 7, Auburn, CA 95603-2401 | 2012-08-28 |
1609153964 | Hopw, Help & Healing Inc | Community Based Residential Treatment Facility, Mental Illness | 11960 Heritage Oak Pl, Suite #20, Auburn, CA 95603-2401 | 2011-11-14 |
1801191580 | Melissa Keller | Student in an Organized Health Care Education/Training Program | 11960 Heritage Oak Pl, Ste 15, Auburn, CA 95603-2401 | 2011-01-11 |
1083844344 | Diane Jean Buckman | Physical Therapist | 11960 Heritage Oak Pl, Suite 17, Auburn, CA 95603-2401 | 2009-07-21 |
1477708097 | Traci Jean Hughes | Case Manager/Care Coordinator | 11960 Heritage Oak Pl, 15, Auburn, CA 95603-2401 | 2008-11-24 |
1952576498 | Hope, Help & Healing Inc | Substance Abuse Rehabilitation Facility | 11960 Heritage Oak Pl, Suite #20, Auburn, CA 95603-2401 | 2008-04-25 |
1740468065 | Dennis Joe Lyons | Counselor | 11960 Heritage Oak Pl, Auburn, CA 95603-2401 | 2008-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
Find all providers in zip 95603 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164044715 | James Raymond Watts | Counselor | 31624 117th Ave Se, Auburn, WA 98092-3697 | 2020-05-16 |
1992344329 | Jessica Megan Basaldua | Counselor | 178 Gamage Ave Apt 1, Auburn, ME 04210-4573 | 2020-01-02 |
1104397314 | Chanda Denise Allen | Counselor | 721 45th St Ne, Auburn, WA 98002-1303 | 2018-12-16 |
1447733746 | Theodore Parfet | Counselor | 12183 Locksley Ln # 101102, Auburn, CA 95602-2004 | 2018-09-12 |
1033612742 | Jeffery M Ostrom | Counselor | 12183 Locksley Ln Ste 201, Auburn, CA 95602-2052 | 2018-03-09 |
1972010650 | Mountain Side Behavioral Health | Counselor | 70 College Way, Auburn, CA 95603-5001 | 2018-01-04 |
1962864421 | Yesenia Estrada | Counselor | 11837 Kemper Rd Ste 2, Auburn, CA 95603-9067 | 2016-03-24 |
1235507419 | Debra Rossi | Counselor | 12183 Locksley Ln Ste 103, Auburn, CA 95602-2050 | 2015-09-04 |
1023417136 | Canaan Sampson | Counselor | 11837 Kemper Rd, Auburn, CA 95603-9067 | 2014-08-14 |
1053754416 | Alex E Broady | Counselor | 17300 Se 392nd Street, Auburn, WA 98092 | 2013-04-16 |
Find all providers in AUBURN |
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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.