MRS. GINA BEVINS WILBURN (NPI# 1871562439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871562439 |
| Entity Type | Individual |
| Full Name | MRS. GINA BEVINS WILBURN |
| Credential | LPC, LMFT |
| Practice Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
| Mailing Address |
4811 Greenlee Rd Sw Roanoke VA 24018-1755 |
| Practice Telephone | 5403459841 |
| Practice Fax Number | 5405272900 |
| Mailing Telephone | 5407745845 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
0701002467 | VA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 0717000912 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720220155 | Gina Wilburn | Occupational Therapist | 4277 Tehama Ave, Fremont, CA 94538-2636 | 2009-03-31 |
| Street Address |
301 ELM AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137734 | Blue Ridge Behavioral Healthcare | Clinic/Center | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-01-06 |
| 1508497512 | Elizabeth Ann Connolly | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2020-01-29 |
| 1083012363 | Latonya Bolden Bolden | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-12-18 |
| 1114340338 | Suzanne Marie Rea | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-01-23 |
| 1063669687 | Allyson Rae Gray | Licensed Practical Nurse | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2008-08-26 |
| 1124207568 | Susan N Newton | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2007-11-02 |
| 1790861946 | Blue Ridge Behavioral Healthcare | Substance Abuse Rehabilitation Facility | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-10-31 |
| 1265530745 | Barbara Dawn Fulcher | Nurse Practitioner | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-09-20 |
| 1821004938 | Joan Reilly Landolt | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-07-31 |
| 1952348773 | Kristi Renee Cales | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872021 | Insights & Inspiration, LLC | Counselor | 6235 Buckland Mill Rd, Roanoke, VA 24019-6709 | 2020-08-17 |
| 1689283525 | Lea Ann Crawford | Counselor | 1401 Pine Ridge Rd, Roanoke, TX 76262-6444 | 2020-07-27 |
| 1972129435 | Abrina Marie Schnurman-crook | Counselor | 2022 Maiden Ln Sw, Roanoke, VA 24015-2310 | 2020-06-21 |
| 1669095410 | Kaisha Williams | Counselor | 6870 Woodcreeper Dr, Roanoke, VA 24019-3816 | 2020-05-27 |
| 1003439043 | Mary Francis | Counselor | 175 Summit Way Sw, Roanoke, VA 24014-5156 | 2020-05-26 |
| 1720618804 | Angela Dee Conway | Counselor | 15476 Yarberry Dr, Roanoke, TX 76262-3351 | 2020-01-17 |
| 1235786997 | Jayna Madeleine Ratliff | Counselor | 3807 Brandon Ave Sw Ste 1115, Roanoke, VA 24018-1490 | 2019-08-19 |
| 1205496353 | Jennie Antonette Sitman | Counselor | 5220 Hazelridge Rd Nw, Roanoke, VA 24012-1542 | 2019-06-19 |
| 1063072312 | Restore Family Counseling, Inc. | Counselor | 3959 Electric Rd Ste 125, Roanoke, VA 24018-4559 | 2019-06-18 |
| 1760949051 | Sabrina M Cowan | Counselor | 3524 Brambleton Ave Ste 6, Roanoke, VA 24018-6528 | 2019-02-22 |
| Find all providers in ROANOKE | ||||
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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.