JOHN WILSON (NPI# 1699923524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699923524 |
| Entity Type | Individual |
| Full Name | JOHN WILSON |
| Credential | CASAC |
| Practice Address |
24180 County Route 16 Evans Mills NY 13637-3127 |
| Mailing Address |
595 W Main St Watertown NY 13601-1335 |
| Practice Telephone | 3156294441 |
| Practice Fax Number | 3156295473 |
| Mailing Telephone | 3157881530 |
| Mailing Fax Number | 3157883794 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| 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) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02921011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
24180 COUNTY ROUTE 16 |
| City | EVANS MILLS |
| State | NY |
| Zip Code | 13637-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760639231 | Leon France | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-26 |
| 1740695568 | Credo Community Center for The Treatment of Addictions | Substance Abuse Rehabilitation Facility | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2014-07-01 |
| 1740438936 | Lloyd Mitchell | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-09-03 |
| 1336396852 | Christine Massey | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1942457460 | Sandi Lindi | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1790932218 | Mark Trimm | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1285881714 | Jennifer Lachenauer | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1821245341 | Greg Matukas | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953257 | Indian River Central School | Local Education Agency (LEA) | 8442 S Main Street, Evans Mills, NY 13637 | 2011-12-29 |
| 1467766782 | Daniel W Krebs | Family Medicine | 26908 Independence Way, Samaritan Family Health Center - Leray, Evans Mills, NY 13637 | 2010-07-28 |
| 1427370774 | David Stetson Bombard | Pharmacist | 25737 Us Rt 11, Evans Mills, NY 13637 | 2010-02-26 |
| 1467663344 | Carthage Area Hospital Inc. | Obstetrics & Gynecology | Route 11 Freedom Plaza, Evans Mills, NY 13637 | 2007-05-24 |
| 1437230992 | Shara Peets | Specialist | Us Rt. 11, Evans Mills, NY 13637 | 2006-10-18 |
| 1134442379 | Jennifer Joyce Kerley | Pharmacist | 25737 Us Route 11, Evans Mills, NY 13637 | 2010-03-02 |
| 1366530958 | Evans Mills Volunteer Ambulance Squad Inc | Ambulance | 8733 Factory St, Evans Mills, NY 13637-0113 | 2006-10-10 |
| 1891862314 | Evans Mills Volunteer Ambulance Squad Inc | Ambulance | 8733 Factory St, Evans Mills, NY 13637-0113 | 2006-11-29 |
| 1063923167 | Alyse Munoz | Social Worker | 25659 County Route 16, Evans Mills, NY 13637-3104 | 2017-10-16 |
| 1588296438 | Viviana Marcel Ruiz | Counselor | 25851 Keyser Rd, Evans Mills, NY 13637-3133 | 2020-02-09 |
| Find all providers in zip 13637 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760639231 | Leon France | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-26 |
| 1740438936 | Lloyd Mitchell | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-09-03 |
| 1336396852 | Christine Massey | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1942457460 | Sandi Lindi | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1790932218 | Mark Trimm | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1285881714 | Jennifer Lachenauer | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| 1821245341 | Greg Matukas | Counselor | 24180 County Route 16, Evans Mills, NY 13637-3127 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578622 | Roberto Javier Torres | Counselor | 115 Angelacrest Ln, West Seneca, NY 14224-3819 | 2020-11-05 |
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1619577541 | Josselyn D Carias-rodriguez | Counselor | 90 Cherry Ln, Hicksville, NY 11801-6232 | 2020-10-29 |
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1598363806 | Anabel Lago-pedrick | Counselor | 539 County Road 40, Maplecrest, NY 12454-1245 | 2020-10-09 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | EVANS MILLS |
| Zip Code | 13637 |
Please comment or provide details below to improve the information on JOHN 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.