SAMMY WILSON (NPI# 1730725375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730725375 |
| Entity Type | Individual |
| Full Name | SAMMY WILSON |
| Practice Address |
3628 Mine Rd Ste D Fredericksburg VA 22408-0224 |
| Practice Telephone | 5122628107 |
| Mailing Telephone | 5122628107 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 344600000X | Taxi | Transportation Services | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3628 MINE RD STE D |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-0224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798097 | Tamaya S Bradley | Counselor | 11903 Main Street, Fredericksburg, VA 22408-7326 | 2019-12-31 |
| 1760951024 | Kimberly Brown | Counselor | 5610 Southpoint Centre Blvd, Fredericksburg, VA 22407-2611 | 2018-11-16 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1952776312 | Rebecca Needy | Counselor | 4528 Plank Rd Ste A, Fredericksburg, VA 22407-0141 | 2015-12-09 |
| 1598193716 | Athalia Eason | Counselor | 3329 Bourbon St, Suite A, Fredericksburg, VA 22408-7348 | 2013-10-25 |
| 1962836239 | Angela Dawn Keller | Counselor | 209 S Acorn St, Fredericksburg, TX 78624-3103 | 2013-08-22 |
| 1790118396 | Kadie A King | Counselor | 2302 Jefferson Davis Hwy, Fredericksburg, VA 22401-2116 | 2013-08-19 |
| 1336446327 | Karen Diane Hazen | Counselor | 406 Chatham Sq Park Ste 102, Fredericksburg, VA 22405-2585 | 2011-02-28 |
| 1194053256 | Stephanie Elaine Goodwin | Counselor | 915 Lafayette Blvd # C, Fredericksburg, VA 22401-5667 | 2009-12-01 |
| 1255546347 | Cynthia Ann Miller | Counselor | 420 Hudgins Road, Suite 201, Fredericksburg, VA 22408 | 2007-05-11 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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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.