AUDREY WILSON (NPI# 1588129779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588129779 |
| Entity Type | Individual |
| Full Name | AUDREY WILSON |
| Credential | LCPC, CADC, CTP |
| Practice Address |
800 E Diehl Rd Ste 100 Naperville IL 60563-2389 |
| Mailing Address |
1335 N Mill St Naperville IL 60563-2261 |
| Practice Telephone | 6307408922 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178.012889 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126661 | Audrey R Wilson | Radiology | 1815 Cottman Ave, Philadelphia, PA 19111 | 2006-03-07 |
| 1316554785 | Audrey Erin Wilson | Counselor | 3601 16th Ave Sw, Cedar Rapids, IA 52404-2363 | 2020-09-29 |
| 1679083273 | Audrey Wilson | Counselor | 818 S Main St, Bladenboro, NC 28320-5970 | 2017-10-09 |
| 1124358502 | Audrey Y. Wilson | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2010-01-06 |
| 1346449493 | Audrey Wilson | Massage Therapist | 2 Courthouse Ln, Suite 13- Rear, Chelmsford, MA 01824-1715 | 2007-07-17 |
| Street Address |
800 E DIEHL RD STE 100 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-2389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730676859 | Roberta Sue Stege | Counselor | 800 E Diehl Rd Ste 100, Naperville, IL 60563-2389 | 2018-04-13 |
| 1922560416 | Tamara Curry | Social Worker | 800 E Diehl Rd Ste 100, Naperville, IL 60563-2389 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| 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 |
|---|---|---|---|---|
| 1972085199 | Peggy Lynn Tomchek | Counselor | 1555 Naperville Wheaton Rd Ste 101, Naperville, IL 60563-1559 | 2018-09-04 |
| 1235651464 | Gabrielle Thibodeaux Abogado | Counselor | 1967 Lancaster Ct Apt 1, Naperville, IL 60565-2057 | 2017-07-10 |
| 1861869208 | Christopher Poulakos | Counselor | 1247 Rickert Dr Ste 201, Naperville, IL 60540-8213 | 2015-09-01 |
| 1326414129 | Stephanie Brands | Counselor | 1952 Mc Dowell Rd, Ste 305, Naperville, IL 60563-6507 | 2015-08-15 |
| 1982080743 | Swati Bajpai | Counselor | 1629 Brentford Dr, Naperville, IL 60563-1348 | 2015-08-04 |
| 1023426848 | Adam Ratner | Counselor | 200 E 5th Ave Ste 109, Naperville, IL 60563-3173 | 2014-07-24 |
| 1659796639 | Kimberly Erin Groll | Counselor | 608 S. Washington Street, Suite 207 Achieving Solutions Counseling, Inc., Naperville, IL 60540 | 2014-02-27 |
| 1437423118 | Mary Blessing | Counselor | 704 Muirhead Ct, Naperville, IL 60565-1668 | 2012-02-28 |
| 1134452642 | Debbie Vaughan | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2009-09-15 |
| 1124255500 | Lorey A Maszka | Counselor | 1657 Imperial Cir, Naperville, IL 60563-0132 | 2009-06-12 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on AUDREY 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.