MR. TODD WILSON (NPI# 1316314131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316314131 |
| Entity Type | Individual |
| Full Name | MR. TODD WILSON |
| Credential | LADC |
| Practice Address |
5101 Boarshead Rd Apt #117 Minnetonka MN 55345-4042 |
| Practice Telephone | 7637722262 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303526 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614619 | Todd Wilson | Counselor | 22721 E State Highway 31, Quinton, OK 74561-5107 | 2013-08-28 |
| 1780876797 | Todd Matthew Wilson | Allergy & Immunology | 14200 Shady Grove Rd, Rockville, MD 20850-7464 | 2007-08-14 |
| 1497304653 | Todd Wilson | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2019-09-10 |
| 1790130862 | Todd Wilson | Family Medicine | 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787 | 2016-04-26 |
| 1861640443 | Todd Wilson | Surgery | 6410 Fannin St, 1400, Houston, TX 77030-3000 | 2008-09-08 |
| 1770776304 | Todd A Wilson | Physical Therapist | 501 Executive Pl, Fayetteville, NC 28305-5390 | 2007-08-27 |
| 1720123391 | Todd Christopher Wilson | Military Health Care Provider | 7520 Transom Ct, Tampa, FL 33607-5863 | 2007-02-21 |
| 1780698910 | Todd Eugene Wilson | Radiology | 10850 E Traverse Hwy, Suite 60, Traverse City, MI 49684-1364 | 2006-07-27 |
| Street Address |
5101 BOARSHEAD RD APT #117 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1811469653 | Matthew Jon Thorson | Counselor | 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018 | 2018-12-18 |
| 1801397302 | Fartun Ahmed | Counselor | 16020 Temple Dr, Minnetonka, MN 55345-3422 | 2018-02-21 |
| 1285098202 | Deborah Hagen | Counselor | 2601 Abbey Hill Dr, Minnetonka, MN 55305-2333 | 2016-04-06 |
| 1902295306 | Jackie Harrison | Counselor | 12708 Wayzata Blvd, Suite 412, Minnetonka, MN 55305-1916 | 2015-01-22 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1154603116 | Judy D Siems | Counselor | 1615 Archwood Rd, Minnetonka, MN 55305 | 2011-09-15 |
| 1265556203 | Odyssey Programs, LLC | Counselor | 14300 Cty Rd 62, Minnetonka, MN 55345 | 2007-03-16 |
| 1093856502 | Scott C Washburn | Counselor | 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 | 2007-02-08 |
| 1407961709 | Cdc Centers | Counselor | 15612 Highway 7, Suite 150, Minnetonka, MN 55345-3543 | 2006-08-20 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
Please comment or provide details below to improve the information on MR. TODD WILSON.
| 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.