MR. KEITH L WILSON III


Address: 1330 E Cherry St # 12, Springfield, MO 65802-3429
Phone: 4177619598

MR. KEITH L WILSON III (NPI# 1982949988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982949988
Entity Type Individual
Full Name MR. KEITH L WILSON III
Credential MS, LPC
Practice Address 1330 E Cherry St # 12
Springfield
MO 65802-3429
Practice Telephone 4177619598
Mailing Telephone 4177619598
Enumeration Date 2012-12-01
Last Update Date 2015-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
2012037415 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1982949988 05
MO 1801285440 05

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1851732697 Keith Wilson Prosthetic/Orthotic Supplier 1823 Charlotte Ave, Nashville, TN 37203-2104 2013-07-09
1255776258 Keith Garnett Wilson Emergency Medicine 155 N Fresno St, Fresno, CA 93701 2013-05-03
1720248198 Keith D Wilson Jr. General Practice 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 2008-06-10
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Office Location

Street Address 1330 E CHERRY ST # 12
City SPRINGFIELD
State MO
Zip Code 65802-3429

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454549 Andrea Strauch Counselor 2024 W Chestnut Expressway Way, Springfield, MO 65802 2020-10-12
1962968867 Chad Michael Linck Specialist/Technologist 2125 N Glenstone Ave, Springfield, MO 65802 2019-02-15
1790254647 Meds To Live By Pharmacist 1134 N. Scarlett Way, Springfield, MO 65802 2018-11-21
1568945103 Ficom Non-Pharmacy Dispensing Site 1308 North Glenstone Avenue, Springfield, MO 65802 2018-09-10
1982194775 Karla Caballero Marriage & Family Therapist 8627 Montant Fort Way, 145, Sprinfield, MO 65802 2018-05-16
1780191809 Tiffany Chawntay Coryell Pharmacist 1134 North Scarlett Way, Springfield, MO 65802 2018-01-10
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1407389596 Medical Mile Imaging Radiology 3905 E Windsmore Dr, Springfield, MO 65802 2017-04-06
1346619103 Jill A Knight Occupational Therapist 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 2015-09-22
1447653258 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3720 E Sunshine St, Springfield, MO 65802 2014-10-07
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576022 Christine Cremonni Counselor 451 Wayne Ave, Springfield, PA 19064-2618 2020-10-19
1710585252 Andrada Mihaila Counselor 120 Maple St Ste 301, Springfield, MA 01103-2216 2020-10-16
1407454549 Andrea Strauch Counselor 2024 W Chestnut Expressway Way, Springfield, MO 65802 2020-10-12
1205443462 India Iasia Kyles Counselor 82 Tilton St, Springfield, MA 01109-2332 2020-09-30
1437765161 Sarissa Joy Adams Counselor 1915 E Nottingham St, Springfield, MO 65804-7733 2020-09-18
1568098952 Jennifer Corsi Counselor 130 Maple St Ste 201, Springfield, MA 01103-2214 2020-03-17
1245865500 Annette Lynn Brandenburg Counselor 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 2020-03-06
1962045443 Emilie Noel Phillips Counselor 3826 E Lomita St, Springfield, MO 65809-3710 2019-10-28
1265082234 Sierra Jane Forney Counselor 98 Garnet St, Springfield, MA 01129-1908 2019-09-12
1700438678 Julie Ann Blythe Counselor 620 N Walnut St, Springfield, IL 62702-4930 2019-07-11
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Competitor

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City SPRINGFIELD
Zip Code 65802

Improve Information

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Dataset Information

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.

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