KENNETH M. WILSON (NPI# 1093244410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093244410 |
| Entity Type | Individual |
| Full Name | KENNETH M. WILSON |
| Credential | LMHC |
| Practice Address |
667 Stoneleigh Ave Suite 202 Carmel NY 10512 |
| Mailing Address |
667 Stoneleigh Ave Ste 202 Carmel NY 10512-2455 |
| Practice Telephone | (845) 279-5908 |
| Practice Fax Number | 8452795447 |
| Mailing Telephone | 8452795908 |
| Mailing Fax Number | 8452795447 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
003620 | NY | 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 |
| 1780860692 | Kenneth James Wilson | Counselor | 1323 Watts St, Durham, NC 27701-1134 | 2008-01-10 |
| 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 |
| Street Address |
667 STONELEIGH AVE SUITE 202 |
| City | CARMEL |
| State | NY |
| Zip Code | 10512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011368 | Jeffrey M Passick | Specialist | 667 Stoneleigh Ave, Ste 302, Carmel, NY 10512-2454 | 2005-05-31 |
| 1538678487 | Jessica Chantel Olivo | Registered Nurse | 667 Stoneleigh Ave, Carmel, NY 10512-2454 | 2017-09-22 |
| 1609306216 | Sarah Yanosy | Social Worker | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512 | 2017-06-15 |
| 1134669724 | Sabrina Kucherov | Nurse Practitioner | 667 Stoneleigh Ave, Suite 111, Carmel, NY 10512-2454 | 2017-03-01 |
| 1285185603 | Lauren Baird Fiedler | Clinical Neuropsychologist | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2016-10-20 |
| 1710330303 | Jenny Carmona-padilla | Social Worker | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2016-07-19 |
| 1043609662 | Andrew Metz | Social Worker | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2015-01-20 |
| 1205224367 | Cecilia Rembert | Psychologist | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2014-12-24 |
| 1669873709 | Michael Dimeo | Physical Therapist | 667 Stoneleigh Ave, Suite 116, Carmel, NY 10512-2454 | 2014-09-09 |
| 1417374810 | Samantha Dimaio | Counselor | 667 Stoneleigh Ave, Suite 202, Carmel, NY 10512-2454 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706272 | Health Quest Medical Practice, PC | Family Medicine | 150 Route 52-metabolic Program, Carmel, NY 10512 | 2020-10-08 |
| 1487282950 | Daniel Bryan Rush | Student in an Organized Health Care Education/Training Program | Putnam Hospital Center, 660 Stonrlrigh Avenue, Carmel Hamlet, NY 10512 | 2020-03-31 |
| 1083139521 | Colette Mignogna | Physical Therapist | 902 Vista On The Lake, Carmel, NY 10512 | 2017-08-06 |
| 1366965543 | Amanda Marie Santangelo | Speech-Language Pathologist | 281 Daisy Lane, Carmel, NY 10512 | 2017-07-19 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1356702369 | Terry-ann Mclennon | Social Worker | 494 Nimham Rd, Kent Lakes, NY 10512 | 2016-03-18 |
| 1033529698 | Daisy Lee | Dentist | 667 Stoneleigh Ave Ste 301, Carmel, NY 10512 | 2014-05-05 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1588901185 | Robyn Weindel | Speech-Language Pathologist | 2506 Kings Way, Carmel, NY 10512 | 2013-01-16 |
| 1447509641 | Rachael Palmer Jones | Registered Nurse | 670 Stoneleigh Ave Ste C-122, Carmel, NY 10512 | 2012-09-04 |
| Find all providers in zip 10512 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928174 | Amy Saum Somers | Counselor | Lincoln 2 Nw of 7th St., Carmel, CA 93921-9392 | 2020-10-02 |
| 1972119675 | Polly Kathryn Larson | Counselor | 580 E Carmel Dr, Carmel, IN 46032-3317 | 2020-09-17 |
| 1154930691 | Inner Calm, LLC | Counselor | 9640 Commerce Dr Ste 412, Carmel, IN 46032-7638 | 2020-07-30 |
| 1619506235 | Staci R Johnson | Counselor | 14149 Ledgewood Way, Carmel, IN 46032-9259 | 2020-04-06 |
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1568013449 | Simone Peart | Counselor | 1816 Route 6, Carmel, NY 10512-2356 | 2019-09-23 |
| 1730647017 | Trina Marie Krieger | Counselor | 9650 Commerce Dr Ste 531, Carmel, IN 46032-7639 | 2019-03-06 |
| 1679049902 | Tobas Anthony Groves | Counselor | 1939 Madison Ct Apt D, Carmel, IN 46032-2957 | 2018-10-14 |
| 1023597721 | Touchstone Counseling | Counselor | 600 E Carmel Dr Ste 110, Carmel, IN 46032-3003 | 2018-08-13 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| Find all providers in CARMEL | ||||
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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.