FREDRICK WILSON (NPI# 1609396233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609396233 |
Entity Type | Individual |
Full Name | FREDRICK WILSON |
Practice Address |
4601 N Market St Shreveport LA 71107-2971 |
Mailing Address |
Po Box 5 Rodessa LA 71069-0005 |
Practice Telephone | 3184248735 |
Practice Fax Number | 3184248739 |
Mailing Telephone | 3182234665 |
Enumeration Date | 2017-06-24 |
Last Update Date | 2017-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700980042 | Fredrick Saul Wilson | Podiatrist | 1895 Mowry Ave, Ste 103, Fremont, CA 94538-1737 | 2006-09-08 |
1124076047 | Fredrick P Wilson | Family Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-05-04 |
Street Address |
4601 N MARKET ST |
City | SHREVEPORT |
State | LA |
Zip Code | 71107-2971 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073980520 | Brighter Future Counseling Services, LLC | Community/Behavioral Health | 4601 N Market St, Suite 2, Shreveport, LA 71107-2971 | 2015-08-31 |
1689176547 | Lamar Sanders | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1750883708 | Tia Young | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1588166540 | Shevonte Lewis | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1366944225 | Kelli Carter | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1982106845 | James Tims | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1053813014 | Guadalupe Hilliard | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1851893812 | Deborah Alexander | Case Manager/Care Coordinator | 4601 N Market St, Shreveport, LA 71107 | 2018-03-06 |
1033569827 | Quasean Nicholson | Case Manager/Care Coordinator | 4601 N Market St, Ste. 2, Shreveport, LA 71107 | 2016-06-13 |
1467800342 | Valtavia Collins | Counselor | 4601 N Market St, Ste 2, Shreveport, LA 71107-2971 | 2016-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
Find all providers in zip 71107 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71107 |
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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.