BENJAMIN MARTIN WILSON (NPI# 1700434636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700434636 |
| Entity Type | Individual |
| Full Name | BENJAMIN MARTIN WILSON |
| Practice Address |
4010 Dupont Cir Ste 582 Louisville KY 40207-4888 |
| Mailing Address |
17313 Curry Branch Rd Louisville KY 40245-7501 |
| Practice Telephone | 5028995411 |
| Mailing Telephone | 5029305745 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 248552 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1235663204 | Benjamin David Wilson | Student in an Organized Health Care Education/Training Program | 169 16th St Apt 3b, Brooklyn, NY 11215-4415 | 2017-04-17 |
| 1093257461 | Benjamin Russell Wilson | Counselor | 6461 Dawn Dr, Bellevue, MI 49021-8411 | 2016-11-16 |
| 1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1598310088 | Benjamin Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-02 |
| 1316506959 | Benjamin Montgomery Wilson | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2019-06-07 |
| 1629539143 | Benjamin Thomas Wilson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2019-03-27 |
| 1598225583 | Benjamin Frederick Wilson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-25 |
| 1245723493 | Benjamin Joseph Robert Wilson | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-06-12 |
| Street Address |
4010 DUPONT CIR STE 582 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721757 | Zakary Eugene Kendall | Counselor | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2013-11-14 |
| 1881204493 | Yitza Danger Mercaderes | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2020-08-07 |
| 1164075875 | Michelle Ann Moore | Case Manager/Care Coordinator | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-07-22 |
| 1497318083 | Brianna Nalley | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-04-18 |
| 1578025086 | Ebonee M Brown | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-04-03 |
| 1750848131 | Ashanti Dioh | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-02-21 |
| 1740746122 | Sarah Mckinney Laughlin | Counselor | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-02-11 |
| 1386115020 | Almina Klanco | Counselor | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2018-12-06 |
| 1669956181 | Brittney Reed | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2018-09-20 |
| 1003309030 | Ieisha S Dale | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408497 | Laura M Green | Marriage & Family Therapist | 3013 Vogue Ave, Louisville, KY 40220-2533 | 2020-08-17 |
| 1841818820 | Amanda L Huff | Marriage & Family Therapist | 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 | 2020-07-07 |
| 1265052153 | Jessica Craven | Marriage & Family Therapist | 5500 Matterhorn Dr, Louisville, KY 40216-1327 | 2020-04-21 |
| 1609404227 | Don P Delafield | Marriage & Family Therapist | 731 Speckman Rd, Louisville, KY 40243-2826 | 2020-03-30 |
| 1932739869 | Sara Ann Semenick | Marriage & Family Therapist | 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 | 2020-01-20 |
| 1417594334 | Shawn L Stinson Sr. | Marriage & Family Therapist | 201 S Peterson Ave, Louisville, KY 40206-2573 | 2019-12-10 |
| 1861034977 | Cheryl Rosa Gilbert | Marriage & Family Therapist | 8815 Lakeridge Dr, Louisville, KY 40272-2405 | 2019-10-09 |
| 1144876079 | Karen Rawlings | Marriage & Family Therapist | 600 E Oak St, Louisville, KY 40203-3463 | 2019-08-15 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1922668771 | Sean Brooks | Marriage & Family Therapist | 800 Lily Creek Rd Ste 202, Louisville, KY 40243-2811 | 2019-06-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.