MS. DOMINIQUE LASHAN WILSON (NPI# 1831478023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831478023 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE LASHAN WILSON |
| Credential | M.ED, LPCC |
| Practice Address |
1099 S Broadway Ste. 260 and 280 Lexington KY 40504-3030 |
| Mailing Address |
585 Southpoint Dr Lexington KY 40515-5121 |
| Practice Telephone | 8593092384 |
| Practice Fax Number | 8594061066 |
| Mailing Telephone | 8593683160 |
| Mailing Fax Number | 8594061066 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
KY-1444 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100266640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345192 | Dominique Marie Wilson | Counselor | 785 Wall St # 200, O Fallon, IL 62269-1959 | 2018-05-08 |
| 1518567874 | Dominique Wilson | Midwife | 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 | 2020-10-27 |
| 1467081109 | Dominique Wilson | Occupational Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2020-04-04 |
| 1225502065 | Dominique Wilson | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2019-01-15 |
| 1750867511 | Dominique Wilson | Developmental Therapist | 1017 Fayetteville Rd Se # B, Atlanta, GA 30316-2932 | 2018-07-16 |
| 1295019909 | Dominique Renee Wilson | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2011-09-30 |
| Street Address |
1099 S BROADWAY STE. 260 AND 280 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407263601 | New Life Counseling Services, LLC | Counselor | 1099 S Broadway, Ste. 260, 160, and 280, Lexington, KY 40504-2663 | 2014-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1447871199 | Hadassah Gomez | Counselor | 119 Brookside Pkwy, Lexington, SC 29072-4234 | 2020-05-05 |
| 1215560479 | Mary Elizabeth Ford | Counselor | 130 Gibson Rd, Lexington, SC 29072-3429 | 2020-02-17 |
| 1689205809 | Jonathan Mitchell, LLC | Counselor | 3175 Custer Dr Ste 303, Lexington, KY 40517-4023 | 2020-01-27 |
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1932679826 | Carrie Ann Corbett | Counselor | 160 Moore Dr Ste 201, Lexington, KY 40503-2936 | 2018-12-04 |
| Find all providers in LEXINGTON | ||||
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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.