MR. KENNETH JAMES WILSON (NPI# 1780860692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780860692 |
| Entity Type | Individual |
| Full Name | MR. KENNETH JAMES WILSON |
| Credential | LPC |
| Practice Address |
1323 Watts St Durham NC 27701-1134 |
| Mailing Address |
512 Sandy Whispers Pl Cary NC 27519-0873 |
| Practice Telephone | 9196679988 |
| Practice Fax Number | 9196679944 |
| Mailing Telephone | 9192519420 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2011-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563735 | Kenneth Lamar Wilson | Counselor | 1155 Westmoreland Dr Ste 114, El Paso, TX 79925-5623 | 2018-10-06 |
| 1336506641 | Kenneth Jerome Wilson II | Counselor | 5 Lavender Ln, Springfield, MA 01129-1708 | 2016-01-19 |
| 1629260344 | Kenneth D Wilson | Counselor | 915 Nipsic Ave, Bremerton, WA 98310-4837 | 2007-08-16 |
| 1396854915 | Kenneth Monroe Wilson | Physical Therapist | 1355 Maple Street, Farmington, MO 63640 | 2006-08-29 |
| 1508873373 | Kenneth Robert Wilson | Dentist | 13764 E Quincy Ave, Aurora, CO 80015-1129 | 2006-08-02 |
| 1366400707 | Kenneth Spencer Wilson | Psychologist | 501 S Johnstone Ave, Bartlesville, OK 74003-6609 | 2006-05-03 |
| 1205896586 | Kenneth Hugh Wilson | Psychologist | 3333c Dayton Xenia Road, Beavercreek, OH 45432-2764 | 2006-03-23 |
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1093244410 | Kenneth M. Wilson | Counselor | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 | 2017-06-08 |
| Street Address |
1323 WATTS ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971315 | Danielle Cullen | Counselor | 839 Onslow St, Durham, NC 27705-4244 | 2020-10-30 |
| 1255930269 | Meredith M Dangel | Counselor | 5015 Southpark Dr Ste 240, Durham, NC 27713-7736 | 2020-10-21 |
| 1699380899 | Angela Teal | Counselor | 314 Hardwick Dr, Durham, NC 27713-7602 | 2020-09-14 |
| 1245841386 | Elana Baumann-carbrey | Counselor | 606 W Markham Ave # Rs, Durham, NC 27701-1618 | 2020-08-12 |
| 1225646433 | Jasmine Reese | Counselor | 4625 Hope Valley Rd Apt A, Durham, NC 27707-6609 | 2020-07-14 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1508499815 | Abigail Garabrant | Counselor | 43 Kimberly Dr, Durham, NC 27707-5418 | 2020-02-14 |
| 1093347023 | Chancie Chaney | Counselor | 4 Boxwood Dr, Durham, NC 27713-9383 | 2020-02-07 |
| 1669004628 | Kira Danielle Parris-moore | Counselor | 525 Crossview Ln, Durham, NC 27703-6729 | 2020-02-07 |
| 1346872645 | Karen Lynn Moen | Counselor | 4600 University Dr Apt 1212, Durham, NC 27707-6121 | 2020-02-05 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on MR. KENNETH JAMES WILSON.
| 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.