TERRY SHAWN WILSON (NPI# 1205498433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205498433 |
| Entity Type | Individual |
| Full Name | TERRY SHAWN WILSON |
| Practice Address |
2611 Wayne Ave Dayton OH 45420-1833 |
| Mailing Address |
8581 Lyons Gate Way Apt C Miamisburg OH 45342-7837 |
| Practice Telephone | 9372567801 |
| Mailing Telephone | 6146637960 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16811 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013320555 | Terry James Wilson | Licensed Vocational Nurse | 12118 Walnut Park Xing, 1212, Austin, TX 78753-6706 | 2014-06-03 |
| 1508027558 | Terry Wilson | Massage Therapist | 641 W 119th St, Chicago, IL 60628 | 2008-06-23 |
| 1386852143 | Terry Lamont Wilson | Counselor | 3741 Stocker St Ste 210, Los Angeles, CA 90008-5109 | 2007-05-17 |
| 1124246475 | Terry Dwayne Wilson | Counselor | 3423 Melrose Rd # A, Fayetteville, NC 28304-1608 | 2007-04-23 |
| 1184611832 | Terry M Wilson | Social Worker | 211 Forest Cir, Goldsboro, NC 27530-9008 | 2005-09-28 |
| 1063056729 | Terry Dee Ann Wilson | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2019-11-05 |
| 1558559690 | Terry Wayne Wilson | Chiropractor | 24835 La Palma Ave Ste D, Yorba Linda, CA 92887-5532 | 2007-10-12 |
| 1174671853 | Terry Lee Wilson | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| 1073609442 | Terry L Wilson | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531 | 2006-10-05 |
| 1235188301 | Terry Roger Wilson | Occupational Therapist | 920 Oliver Rd, Monroe, LA 71201-5702 | 2006-05-08 |
| Street Address |
2611 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350658 | State of Ohio Department of Mental Health | Case Management | 2611 Wayne Ave, Bldg #66, Dayton, OH 45420-1833 | 2006-03-15 |
| 1053926246 | Nikkol Michelle Ferguson | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-09-14 |
| 1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
| 1417569005 | Michael Baker | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-17 |
| 1629611421 | Alexus Sanders | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-10-24 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1528629789 | Quinton A Osborne | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-06-27 |
| 1457827677 | Kellie Jean Morrissey | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-10-15 |
| 1083196018 | Charles Robert Wick | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-09-06 |
| 1851884720 | Ebony Mitchell | Social Worker | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 1578170056 | Taylor Katherine Bevins | Counselor | 856 Hyde Park Dr, Dayton, OH 45429-5840 | 2020-09-28 |
| 1528689676 | Yvonne Marie Randel | Counselor | 519 County Road 4011, Dayton, TX 77535-7386 | 2020-04-29 |
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1477190312 | Tewanna Hawkins | Counselor | 4352 Catalina Ave, Dayton, OH 45416-1302 | 2019-12-10 |
| 1588206718 | Iris Marie Blanchard | Counselor | 329 Imogene Rd, Dayton, OH 45405-5208 | 2019-10-09 |
| 1891345559 | Larry S Baxter IIi | Counselor | 612 Gramont Ave, Dayton, OH 45402-5439 | 2019-09-16 |
| 1992354286 | Eden E Mcdonald | Counselor | 1592 Joselin Rd, Dayton, OH 45432-3647 | 2019-09-09 |
| 1730746942 | Kimberly Billingsley | Counselor | 212 N Orchard Ave, Dayton, OH 45417-2453 | 2019-05-22 |
| Find all providers in DAYTON | ||||
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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.