MR. DAVID ALLEN VERNON WILSON (NPI# 1407003726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407003726 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLEN VERNON WILSON |
| Credential | M.A. |
| Practice Address |
3010 E State Blvd Fort Wayne IN 46805-4700 |
| Practice Telephone | 2604712300 |
| Mailing Telephone | 2604712300 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1265030969 | David Nicholas Wilson | Social Worker | 2419 E Hazzard St, Philadelphia, PA 19125-3112 | 2020-10-14 |
| 1467059527 | David Ray Wilson IIi | Technician | 345 City Ave Apt 1, Beckley, WV 25801-5967 | 2020-10-02 |
| 1609484708 | David Wilson | Technician | 254 Township Road 1110, Proctorville, OH 45669-8437 | 2020-07-15 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1275982779 | David M. Wilson | Specialist/Technologist | 7510 Madison St, Merrillville, IN 46410-4609 | 2016-06-07 |
| 1609253376 | David Wilson Jr. | Massage Therapist | 2904 Odonnell St, Baltimore, MD 21224-4820 | 2015-05-01 |
| 1992115794 | David Andrew Wilson | Massage Therapist | 1501 E Jefferson St, Seattle, WA 98122-5627 | 2014-05-01 |
| 1184040800 | David Charles Wilson | Counselor | 116 Dumaine Pl, Madison, MS 39110-9234 | 2014-03-06 |
| 1104259167 | David Lawrence Wilson | Counselor | 702 E. Franklin Avenue, Sunnyside, WA 98944-0997 | 2013-08-14 |
| Street Address |
3010 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366494031 | Victor K Fitch | Chiropractor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2006-05-17 |
| 1639797699 | Rebecca Ann Bohn | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2020-07-07 |
| 1700419744 | Paige Katherine Walker | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2020-02-18 |
| 1053839027 | Kerry Lee Mills | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2017-08-30 |
| 1649543729 | Shannon Waltersharvey | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2012-02-20 |
| 1770898744 | Melissa M Koske | Counselor | 3010 E State Blvd, #600, Fort Wayne, IN 46805-4700 | 2010-08-13 |
| 1548499726 | David Douglas Thaxton | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2009-07-08 |
| 1437387537 | Rita Irene Polivick | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2009-06-26 |
| 1487881884 | Marilyn Ann Barlag | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2009-06-12 |
| 1356509467 | Michela Angela Buss | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2008-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114401080 | Robin Gene Vandeventer | Counselor | 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 | 2018-09-18 |
| 1023544533 | Emily Martin | Counselor | 4646 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804-6832 | 2017-05-03 |
| 1467995035 | Heather Sue Bleeke | Counselor | 830 Ivy Creek Cv, Fort Wayne, IN 46804-3581 | 2016-11-29 |
| 1437604014 | Donald Luedke | Counselor | 427 W Washington Blvd, Fort Wayne, IN 46802-2915 | 2016-08-24 |
| 1306208400 | Tracy Cain | Counselor | 431 Fairmont Place, Fort Wayne, IN 46808-1116 | 2016-03-28 |
| 1144600982 | Megan Kostrubanic | Counselor | 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN 46805-3139 | 2015-06-07 |
| 1336579754 | Interdisciplinary Community Autism Network, Inc | Counselor | 409 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3600 | 2013-11-21 |
| 1477823151 | Gregory Wayne Isch | Counselor | 7230 Engle Rd Ste 305, Fort Wayne, IN 46804 | 2012-01-11 |
| 1710120753 | Sandra Thomas | Counselor | 5440 Thornbriar Ln, Fort Wayne, IN 46835-3886 | 2009-04-07 |
| 1508034091 | John Patrick Nolan | Counselor | 6015 Dichotomy Ct, Fort Wayne, IN 46835-2063 | 2008-02-18 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on MR. DAVID ALLEN VERNON 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.