MRS. ITAI CHINHAMO-WILSON (NPI# 1225506264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225506264 |
| Entity Type | Individual |
| Full Name | MRS. ITAI CHINHAMO-WILSON |
| Credential | LPC CANDIDATE |
| Practice Address |
1802 Nw Ferris Ave Lawton OK 73507-5625 |
| Mailing Address |
905 Ne Rogers Ln Apt 1 Lawton OK 73507-1735 |
| Practice Telephone | 5805854200 |
| Mailing Telephone | 8038078998 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1802 NW FERRIS AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-5625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343829 | Paul Gerard Adams | Counselor | 5529 Nw Eisenhower Dr, Lawton, OK 73505-5826 | 2019-02-25 |
| 1790277259 | Powers Powers & Slagle LLC | Counselor | 1930 Nw Ferris Ave Ste 4, Lawton, OK 73507-5629 | 2018-05-31 |
| 1316300429 | Misty Dawn Watkins | Counselor | 2414 Nw Norman Cir, Lawton, OK 73505-1417 | 2016-04-05 |
| 1740665686 | Andrea Vangorder | Counselor | 910 Sw E Ave, Lawton, OK 73501-4593 | 2015-07-21 |
| 1396170791 | Anke Peyton | Counselor | 563 Sunset Dr, Lawton, OK 73507-7164 | 2013-09-05 |
| 1699115139 | Steven Michael Fuller | Counselor | 4202 Sw Lee Blvd., Park Ridge Professional Center, Lawton, OK 73505 | 2013-06-28 |
| 1407193550 | Wanda Denice Smith | Counselor | 2416 Sw Oxford Dr, Lawton, OK 73505-0802 | 2013-01-09 |
| 1083968085 | Doletha Brown | Counselor | 7803 Nw Morrocco Rd, Lawton, OK 73505-1122 | 2012-10-30 |
| 1861742868 | Latoria M Miller | Counselor | 2208 Sw Edinburough Dr, Lawton, OK 73505-0849 | 2012-09-17 |
| 1043575947 | Lillian L Bell | Counselor | 1510 Se Walnut Creek Rd, Lawton, OK 73501-8327 | 2012-07-07 |
| Find all providers in LAWTON | ||||
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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.