MS. MISTIE RAYLENE WILSON (NPI# 1700183837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700183837 |
| Entity Type | Individual |
| Full Name | MS. MISTIE RAYLENE WILSON |
| Credential | M.S., L.P.C.(INTERN) |
| Practice Address |
3611 S Soncy Rd Ste 2a Amarillo TX 79119-6408 |
| Practice Telephone | 8063525542 |
| Practice Fax Number | 8063525597 |
| Mailing Telephone | 8063525542 |
| Mailing Fax Number | 8063525597 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
65776 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3611 S SONCY RD STE 2A |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366560948 | Sonia Lea Higgins | Counselor | 3611 S Soncy Rd Ste 2a, Amarillo, TX 79119-6408 | 2007-03-26 |
| 1437459476 | Melissa Kinder Gray | Counselor | 3611 S Soncy Rd Ste 2a, Amarillo, TX 79119-6408 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508286 | Mark Harris | Counselor | 6120 Rutgers St, Amarillo, TX 79109-6615 | 2020-08-11 |
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1194382671 | Chiffon Melissa Samuel | Counselor | 705 S Grant St Unit 14, Amarillo, TX 79101-2514 | 2019-05-21 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1720491913 | Kimberley Sterling | Counselor | 1616 S Kentucky St Ste C220, Amarillo, TX 79102-2290 | 2014-06-05 |
| 1134554462 | Amanda L. Durst | Counselor | 7470 Golden Pond Pl, Suite 300, Amarillo, TX 79121-1997 | 2013-09-05 |
| 1093060998 | Kristy Paddack Counseling Pllc | Counselor | 4300 Teckla Blvd, Suite 3b, Amarillo, TX 79109-5494 | 2012-07-17 |
| 1689975294 | Jeffery Alan Kee | Counselor | 3306 Bedford Rd, Amarillo, TX 79106-2906 | 2010-11-12 |
| 1750531117 | Clara Valdez | Counselor | 6010 W. Amarillo Blvd., Amarillo, TX 79106 | 2008-09-23 |
| 1902070360 | William Charles Santer IIi | Counselor | 3414 Olsen Blvd, Suite E, Amarillo, TX 79109-3072 | 2008-04-16 |
| Find all providers in AMARILLO | ||||
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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.