MR. SAMUEL BERINGER WILSON


Address: 619 E 5th St, Los Angeles, CA 90013-2109
Phone: 2135370822

MR. SAMUEL BERINGER WILSON (NPI# 1275763286) 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) 1275763286
Entity Type Individual
Full Name MR. SAMUEL BERINGER WILSON
Credential M.S.W.
Practice Address 619 E 5th St
Los Angeles
CA 90013-2109
Practice Telephone 2135370822
Mailing Telephone 2135370822
Enumeration Date 2009-07-24
Last Update Date 2012-04-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
ASW25311 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 619 E 5TH ST
City LOS ANGELES
State CA
Zip Code 90013-2109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497367916 Trixie Thaonhu Le Case Manager/Care Coordinator 619 E 5th St, Los Angeles, CA 90013-2109 2020-08-17
1356993257 Roselyn Isabel Cazares Case Manager/Care Coordinator 619 E 5th St, Los Angeles, CA 90013-2109 2019-07-10
1437671682 Jamie Kimbrough Marriage & Family Therapist 619 E 5th St, Los Angeles, CA 90013-2109 2017-07-10
1922549849 Nicole Kipley Social Worker 619 E 5th St, Los Angeles, CA 90013-2109 2017-03-10
1861940546 Edward Jason Valdez Counselor 619 E 5th St, Los Angeles, CA 90013 2016-09-12
1790144319 The People Concern Community/Behavioral Health 619 E 5th St, Los Angeles, CA 90013-2109 2016-02-11
1043611387 Keith Oglesby Counselor 619 E 5th St, Los Angeles, CA 90013-2109 2014-09-05
1164848545 Sharon Roddy Case Manager/Care Coordinator 619 E 5th St, Los Angeles, CA 90013-2109 2014-03-10
1811320260 Ashley Taylor Marriage & Family Therapist 619 E 5th St, Los Angeles, CA 90013-2109 2013-08-20
1942643655 Sara Hyoun Psychiatry & Neurology 619 E 5th St, Los Angeles, CA 90013-2109 2013-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013470327 Mia Rashap Technician, Other 555 W 5th St, Los Angeles, CA 90013 2019-04-12
1992263941 Shiane Lyana Ferretti Technician, Other 555 West 5th Street, Los Angeles, CA 90013 2019-03-08
1629567060 Dtla Med Clinic/Center 431 S Hewitt St Ste B, Los Angeles, CA 90013 2018-05-01
1386150886 Abel Joseph Apodaca Jr. Counselor 512 East 4th Street, Los Angeles, CA 90013 2017-12-19
1578075560 Anthony Perez Case Manager/Care Coordinator 522 S San Pedro, Los Angeles, CA 90013 2017-10-30
1740724574 Royalty Group Services Inc Clinic/Center 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 2016-12-13
1275930877 Araceli Zuniga Rehabilitation Practitioner 640 South Maple Avenue, Los Angeles, CA 90013 2014-11-25
1558785956 Carlos Mejia Counselor 470 E. 3rd St., Los Angeles, CA 90013 2014-02-06
1679908081 Troy Gabrielson Counselor 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 2013-09-05
1417298753 Pierre Houbein Physician Assistant 311 Winston St., Los Angeles, CA 90013 2013-03-12
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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...

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1841800190 Daniela Sanchez Counselor 5081 Borland Rd, Los Angeles, CA 90032-3950 2020-08-02
1649888512 David John Laing Counselor 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 2020-07-16
1366060659 Amy H Kim Counselor 2152 Lemoyne St, Los Angeles, CA 90026-1950 2020-07-13
1083231435 Leslie Gluck Counselor 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 2020-07-01
1104441112 Barbara R Ponse Counselor 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 2020-06-15
1033734264 Shelley Baird Smith Counselor 265 S St Andrews Pl, Los Angeles, CA 90004-5029 2020-06-12
1801411566 Tyler Grant Daly Counselor 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 2020-06-09
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Competitor

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City LOS ANGELES
Zip Code 90013

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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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