MRS. SONJA ANN WILDER (NPI# 1982901120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982901120 |
| Entity Type | Individual |
| Full Name | MRS. SONJA ANN WILDER |
| Other Name | MS. SONJA ANN SCHOBERT |
| Credential | CADC I |
| Practice Address |
3647 Highway 39 Klamath Falls OR 97603-2612 |
| Practice Telephone | 5418845244 |
| Practice Fax Number | 5418841105 |
| Mailing Telephone | 5418845244 |
| Mailing Fax Number | 5418841105 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
06-11-52 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 136460 | 05 |
| Street Address |
3647 HIGHWAY 39 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828619 | Bobby Lee Black | Technician, Other | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-07-20 |
| 1831707397 | Sarah Georgia Covert | Technician, Other | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-07-20 |
| 1972129419 | Hailey Kendall Babcock | Counselor | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-06-21 |
| 1255950275 | Amiee Michele Grimes I | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-04-09 |
| 1124654215 | Cheyenne Renee Massey | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-03-20 |
| 1992330393 | Dean Foster Jones | Peer Specialist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-03-05 |
| 1750927075 | George Wesley Clark | Technician, Other | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2019-11-21 |
| 1780229872 | Missy R Say | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2019-11-12 |
| 1346885779 | Sabrina Flint Garcia | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2019-11-08 |
| 1194379073 | Cody Flanders | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2019-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522663 | Red Is The Road To Wellness (rrw) | Counselor | 3206 Onyx Ave, Klamath Falls, OR 97603-7279 | 2020-09-10 |
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1588115364 | James Leroy Yahne | Counselor | 5728 S 6th St Ste C, Klamath Falls, OR 97603-5108 | 2016-10-17 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1316238322 | Joni L. Townsend | Counselor | 121 Iowa St, Klamath Falls, OR 97601 | 2011-04-25 |
| 1154633378 | Lisa Duvall-baker | Counselor | 2555 Main St, Klamath Falls, OR 97601-2723 | 2010-07-02 |
| 1619208337 | Derwin Decker | Counselor | 3949 South 6th Street, Klamath Falls, OR 97603-4746 | 2010-01-20 |
| 1538496518 | Inside Out Counseling Sservice | Counselor | 1421 Esplanade Ave, #7, Klamath Falls, OR 97601-5956 | 2009-11-11 |
| 1316274962 | Dennis Sigo | Counselor | 3949 South 6th St., Klamath Falls, OR 97603-4746 | 2009-11-03 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on MRS. SONJA ANN WILDER.
| 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.