MARY LUCINDA WILSON (NPI# 1508176835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508176835 |
| Entity Type | Individual |
| Full Name | MARY LUCINDA WILSON |
| Credential | LMHC, NCC, CCMHC |
| Practice Address |
1536 Sunrise Plaza Dr Ste 100 Clermont FL 34714-6204 |
| Practice Telephone | 4075028011 |
| Mailing Telephone | 4075028011 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH14268 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| 1932380979 | Mary Louise Wilson | Registered Nurse | 1342 W Emerald Ave, Unit 256, Mesa, AZ 85202-3379 | 2007-11-19 |
| Street Address |
1536 SUNRISE PLAZA DR STE 100 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34714-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017515 | Fresenius Medical Care Four Corners, LLC | Clinic/Center | 503 Cagan View Rd, Ste 300, Clermont, FL 34714 | 2019-01-23 |
| 1255803771 | Natalia M Soto- Robles | Case Manager/Care Coordinator | 2624 Duncan Trail, Kissimmee, FL 34714 | 2018-12-21 |
| 1487145249 | Arelis Negron | Early Intervention Provider Agency | 4408 Blue Mesa Ct., Clermont, FL 34714 | 2018-05-28 |
| 1164931945 | Lisa Hernandez | Behavior Technician | 3232 Callerton Rd, Clermont, FL 34714 | 2017-09-25 |
| 1356879100 | Jacquelyn Giglio | Speech-Language Pathologist | 1050 Highway 27 Suite 9, Clermont, FL 34714 | 2017-05-24 |
| 1518367192 | Michael Edward Gilman | Clinic/Center | 221 Frontage Road, Suite A, Clermont, FL 34714 | 2014-09-02 |
| 1255776175 | Yeimi Larios | Occupational Therapy Assistant | 2938 State Road 33, Clermont, FL 34714 | 2013-05-06 |
| 1598979122 | Carla Talavera-jordan D.m.d., P.a. | Dentist | 533 Cagan Park Ave, Suite 307, Clermont, FL 34714 | 2007-05-10 |
| 1346467339 | Doris Cruz | Dentist | 1100 Us Highway 27, Suite D, Clermont, FL 34714 | 2007-04-19 |
| 1003816570 | Ntc Urgent Care Centers,llc | Clinic/Center | 1503 Sunrise Plaza Drive, Clermont, FL 34714 | 2005-07-27 |
| Find all providers in zip 34714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246835 | Audrey Simmons | Counselor | 1214 Bowman St, Clermont, FL 34711-3144 | 2020-08-17 |
| 1609330661 | Mary Hamilton | Counselor | 1635 E Hwy 50 Ste 209, Clermont, FL 34711-5034 | 2019-01-24 |
| 1992297667 | Rebecca Caskey | Counselor | 200 E Highland Ave Ste 3, Clermont, FL 34711-2582 | 2018-05-30 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1770099830 | Christel Janine Campoy Mamaril | Counselor | 4300 S Hwy 27 Ste 205b, Clermont, FL 34711-8067 | 2017-12-27 |
| 1639613151 | Ginnette Ayala | Counselor | 600 River Birch Ct Apt 522, Clermont, FL 34711-5142 | 2016-12-19 |
| 1932650785 | Grace Gonzalez | Counselor | 201 Hunt St, Apt 1622, Clermont, FL 34711-2484 | 2016-10-17 |
| 1376097451 | Shaleena Lott | Counselor | 1060 W Highway 50 Ste 212, Clermont, FL 34711-2835 | 2016-08-07 |
| 1811349533 | Marygrace Guffey | Counselor | 2530 Citrus Tower Blvd Apt 19105, Clermont, FL 34711-6987 | 2016-07-06 |
| 1174985923 | Andrea Dawson | Counselor | 1450 Blue Horizon Dr, Clermont, FL 34714-4981 | 2016-03-22 |
| Find all providers in CLERMONT | ||||
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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.