REVLON WILSON (NPI# 1366831349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366831349 |
| Entity Type | Organization |
| Organization Name | REVLON WILSON |
| Other Organization Name | NO OTHER WAY |
| Practice Address |
13021 Legendary Dr Apt 1334 Austin TX 78727-3934 |
| Practice Telephone | 7732032329 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | REVLON DIONE WILSON (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 7732032329 |
| Authorized Official Credential | M.A LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 72882 | TX | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 72882 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| No Other Way | Doing Business As Name - Organization |
| Street Address |
13021 LEGENDARY DR APT 1334 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594450 | Jessica Hooson, Lcsw, P.l.l.c. | Community/Behavioral Health | 516 E Slaughter Ln Apt 402, Austin, TX 78744-0052 | 2020-10-06 |
| 1144834995 | Get Mental Atx | Community/Behavioral Health | 11407 Bristle Oak Trl, Austin, TX 78750-1307 | 2020-08-31 |
| 1104323799 | Martita A. Lopez, Ph.d., Pllc | Community/Behavioral Health | 711 W 38th St Bldg F-2, Austin, TX 78705-1121 | 2018-04-10 |
| 1861991242 | Your Psychologist Pllc | Community/Behavioral Health | 11615 Angus Rd Ste 108, Austin, TX 78759-4064 | 2018-02-12 |
| 1043754773 | Steiner Ranch Behavior Therapy Inc | Community/Behavioral Health | 8500 Mesa Dr, Side A, Austin, TX 78759-8120 | 2016-12-14 |
| 1841734803 | Austin Independent School District | Community/Behavioral Health | 5005 Caswell Ave, Austin, TX 78751-2622 | 2016-12-10 |
| 1073973822 | Signature Therapeutic Services | Community/Behavioral Health | 7920 San Felipe Blvd, 1218, Austin, TX 78729-7988 | 2016-03-07 |
| 1902265580 | Catholic Charities of Central Texas | Community/Behavioral Health | 1625 Rutherford Ln, Austin, TX 78754-5173 | 2016-02-11 |
| 1124483995 | Volunteers At The Creek | Community/Behavioral Health | 4110 Guadalupe St Bldg 635, Austin, TX 78751-4223 | 2015-12-22 |
| 1386026136 | The Center for Relationships, Inc. | Community/Behavioral Health | 8810 Business Park Dr, Suite 200, Austin, TX 78759-7437 | 2015-06-28 |
| Find all providers in AUSTIN | ||||
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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.