ADELAIDE CLEO WILSON (NPI# 1760408660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760408660 |
| Entity Type | Individual |
| Full Name | ADELAIDE CLEO WILSON |
| Credential | LMFT |
| Practice Address |
63 N Burritt Ave Buffalo WY 82834-1868 |
| Mailing Address |
1876 S Sheridan Ave Sheridan WY 82801-6136 |
| Practice Telephone | 3073378247 |
| Practice Fax Number | 3072780766 |
| Mailing Telephone | 3076720475 |
| Mailing Fax Number | 3076720476 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 145 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 136274700 | 05 |
| Street Address |
63 N BURRITT AVE |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027155 | Clear Creek Company LLC | Marriage & Family Therapist | 63 N Burritt Ave, Buffalo, WY 82834-1868 | 2016-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| 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 |
|---|---|---|---|---|
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1407384282 | Jenna Ann Haarstick | Marriage & Family Therapist | 308 12th Ave S Ste 1, Buffalo, MN 55313-2322 | 2017-05-24 |
| 1710318951 | Lindsay Latham | Marriage & Family Therapist | 95 W Humboldt Pkwy, Buffalo, NY 14214-2604 | 2013-12-12 |
| 1578612461 | Janet Mary Mignatti | Marriage & Family Therapist | 387 Huntington Ave, Buffalo, NY 14214 | 2007-01-09 |
| 1649811092 | Ann Marie Cusella | Marriage & Family Therapist | 142 Bidwell Pkwy, Buffalo, NY 14222-1164 | 2019-10-07 |
| 1558837583 | Sarah Scaccia | Marriage & Family Therapist | 1500 Broadway St, Buffalo, NY 14212-1845 | 2018-10-17 |
| 1679027155 | Clear Creek Company LLC | Marriage & Family Therapist | 63 N Burritt Ave, Buffalo, WY 82834-1868 | 2016-08-12 |
| 1114398773 | Nora Eggers | Marriage & Family Therapist | 10 Symphony Cir, Buffalo, NY 14201-1363 | 2015-10-08 |
| 1659709350 | Josefina Carmona | Marriage & Family Therapist | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2013-10-16 |
| 1164860664 | Breanna Marie Heintzelman | Marriage & Family Therapist | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2013-06-06 |
| Find all providers in BUFFALO | ||||
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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.