MR. CARL MICHAEL WILSON JR. (NPI# 1841658754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841658754 |
| Entity Type | Individual |
| Full Name | MR. CARL MICHAEL WILSON JR. |
| Practice Address |
110 Boston St Salem MA 01970-1402 |
| Practice Telephone | 9785786401 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| 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 |
|---|---|---|---|---|
| 1124645932 | Carl Wilson | Massage Therapist | 12345 Roosevelt Way Ne Apt 304, Seattle, WA 98125-4867 | 2020-06-26 |
| 1932419298 | Carl T. Wilson | Registered Nurse | 89 Old Post Rd, Marlboro, NY 12542-6544 | 2010-10-20 |
| 1033110465 | Carl Wilson | Internal Medicine | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 | 2005-08-09 |
| 1386147957 | Carl Wilson | Physician Assistant | 150 Dennis St Sw, Ste A, Tumwater, WA 98501-5459 | 2018-03-09 |
| 1558621854 | Carl Wilson | Home Health Aide | 5513 Illinois Ave Nw, Washington, DC 20011-2937 | 2012-05-21 |
| 1467731158 | Carl Wilson | Counselor | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2011-08-11 |
| 1073608659 | Carl Thayne Wilson | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-03 |
| 1851319198 | Carl Wilson | Orthopaedic Surgery | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2006-07-17 |
| Street Address |
110 BOSTON ST |
| City | SALEM |
| State | MA |
| Zip Code | 01970-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679782734 | Christin Angela Brown | Social Worker | 110 Boston St, Salem, MA 01970-1402 | 2007-05-22 |
| 1245847516 | Amy Evelyn Dwyer | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-09-30 |
| 1295348233 | Kristian Glynn Travis | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-08-28 |
| 1104439306 | Nikki Marie Valila | Social Worker | 110 Boston St, Salem, MA 01970-1402 | 2020-08-26 |
| 1427669530 | Alexander O'leary | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-08-12 |
| 1245840248 | Noah G Galiffi-caster | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-08-04 |
| 1386268092 | Catherine Adamson | Social Worker | 110 Boston St, Salem, MA 01970-1402 | 2020-05-29 |
| 1861011637 | Belkis Hernandez | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-04-13 |
| 1851927149 | Jennifer Mueller | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-03-18 |
| 1730715186 | Daniel Lamack | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| 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 |
|---|---|---|---|---|
| 1043824956 | Olivia Mandracchia | Counselor | 43 Bridge St Unit 2, Salem, MA 01970-4124 | 2020-09-08 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1821629569 | Kristin Cordy | Counselor | 1 Orchard Ter, Salem, MA 01970-2406 | 2020-01-31 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1124507330 | Bright Leaf Counseling and Wellness Center, LLC | Counselor | 25 E Main St Ste C, Salem, VA 24153-3806 | 2018-08-08 |
| 1063905966 | Katilyn Dalton-wise | Counselor | 18 Ward St # 1, Salem, MA 01970-5025 | 2018-06-14 |
| 1487144986 | Effective Foundations Counseling and Consultation Services | Counselor | 280 Court St Ne Ste 205, Salem, OR 97301-3443 | 2018-05-10 |
| 1699282913 | Williams English | Counselor | 35 Congress St Ste 2, Salem, MA 01970-5567 | 2018-01-08 |
| 1235678053 | Douglas Mariano | Counselor | 198 Lafayette St. Apt 2, Salem, MA 01970-4735 | 2017-02-13 |
| 1609328269 | Margaret Lilley | Counselor | 40 Mason St, Unit 4, Salem, MA 01970 | 2016-10-31 |
| Find all providers in SALEM | ||||
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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.