TERESA LOVE WILSON (NPI# 1992132757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992132757 |
| Entity Type | Individual |
| Full Name | TERESA LOVE WILSON |
| Credential | L.P.C.C. |
| Practice Address |
631 S Orchard Ave Ukiah CA 95482-5011 |
| Mailing Address |
P.o. Box 422 Ukiah CA 95482 |
| Practice Telephone | 7074722922 |
| Practice Fax Number | 7074674999 |
| Mailing Telephone | 7074672000 |
| Mailing Fax Number | 7074674999 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2019-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PCI304 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 99 S Humboldt St, Willits, CA 954903509 | 7074599900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643036 | Teresa Wilson | Licensed Practical Nurse | 41 Farm St, Danbury, CT 06811-4612 | 2020-06-16 |
| 1386291326 | Teresa Ann Wilson | Technician | 7104 Arborcrest Dr., Dallas, TX 75232-4010 | 2019-08-23 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1700140480 | Teresa Ann Wilson | Rehabilitation Practitioner | 3150 S Nellis Blvd Apt 1189, Las Vegas, NV 89121-7537 | 2012-06-27 |
| 1861614109 | Teresa Lynne Wilson | Pediatrics | 1315 W Main Ave Ste 13a, Alton, TX 78573-1642 | 2007-05-03 |
| 1457492027 | Teresa Ann Wilson | Nurse Practitioner | 3961 Hillman Ave, Montefiore School Health Clinic, Bronx, NY 10463-3001 | 2007-02-08 |
| 1568515773 | Teresa D Wilson | Registered Nurse | 105 Belview Rd, Leesville, LA 71446-2902 | 2007-01-19 |
| 1750325833 | Teresa K Wilson | Nurse Anesthetist, Certified Registered | 3354 Chantarene Dr, Pensacola, FL 32507-3549 | 2006-06-16 |
| 1023507456 | Teresa Wilson | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2018-05-01 |
| 1295222446 | Teresa Wilson | Counselor | 1 North St, Randolph, MA 02368-4614 | 2018-04-13 |
| Street Address |
631 S ORCHARD AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255478442 | Harvey Baumoel | Case Manager/Care Coordinator | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2007-01-30 |
| 1952911554 | Glenn Limosnero | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1134739766 | Miles Ruttinger | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1972135523 | Randy Owen | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-02-11 |
| 1396392932 | Shelley Mccoy | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-08-19 |
| 1134787344 | Dusty Stokes | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-06-03 |
| 1801367727 | Chelsea Delvecchio | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2018-12-17 |
| 1295268217 | Andre Epstein | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2017-04-06 |
| 1881043776 | Alissa L. Davis-ku | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-06-10 |
| 1386004679 | Jeremy Livingston | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-02-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
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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.