RICHARD LUNDEEN (NPI# 1871846865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871846865 |
| Entity Type | Individual |
| Full Name | RICHARD LUNDEEN |
| Credential | CMHW |
| Practice Address |
7905 Fall Creek Rd. Wilson WY 83014 |
| Mailing Address |
Po Box 290 Wilson WY 83014-0290 |
| Practice Telephone | 3077339098 |
| Practice Fax Number | 3077337672 |
| Mailing Telephone | 3077339098 |
| Mailing Fax Number | 3077337672 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CMHW-057 | WY | Behavioral Health & Social Service Providers |
| Street Address |
7905 FALL CREEK RD. |
| City | WILSON |
| State | WY |
| Zip Code | 83014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669722419 | Jeremy Silcox | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2012-09-19 |
| 1700384872 | Brian Hawkins | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1578121588 | Nina Clark Lex | Physical Therapist | 1230 N Fall Creek Rd, Wilson, WY 83014 | 2019-06-04 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1902307952 | Joseph Anthony Sorge | Medical Genetics | 5320 Pine Meadow Road, Wilson, WY 83014 | 2018-02-26 |
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1740657261 | Peter Moffatt | Counselor | 7905 South Fall Creek Road, Wilson, WY 83014 | 2015-09-01 |
| 1649533811 | Harriet Elizabeth Wardle | Social Worker | 3850 N Wilderness Dr, Wilson, WY 83014 | 2012-06-21 |
| 1205197043 | Laura Lea Perez | Psychologist | 3850 North Wilderness Dr., Wilson, WY 83014 | 2012-06-07 |
| 1306105689 | William Douglas Odell | Specialist | 5445 Cottonwood Canyon Road, Wilson, WY 83014 | 2012-05-08 |
| 1619287414 | Stanford B Trachtenberg | Radiology | 3680 Lake Creek Drive, Wilson, WY 83014 | 2010-10-14 |
| Find all providers in zip 83014 | ||||
| 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 |
|---|---|---|---|---|
| 1114531993 | Pathways Human Services of North Carolina, LLC | Counselor | 2835 Daisy Ln N Ste B, Wilson, NC 27896-6942 | 2020-08-31 |
| 1124431028 | Debra Benson Rogers | Counselor | 4804 Country Club Dr N, Wilson, NC 27896-9118 | 2014-06-09 |
| 1114265386 | Martin Jerome Cox Jr. | Counselor | 306 Nash St Ne, Wilson, NC 27893-3835 | 2013-01-23 |
| 1407101512 | Lauren Raymes Murray | Counselor | 3456a Airport Blvd Nw, Wilson, NC 27896-8814 | 2012-07-16 |
| 1083918254 | Colleen Dougherty Raper | Counselor | 4205 Dewfield Dr N, Wilson, NC 27896-8975 | 2011-01-03 |
| 1568786424 | Angela Henderson Small | Counselor | 3204 Nash St N Ste B, Wilson, NC 27896-3002 | 2010-03-22 |
| 1518192806 | Jane Suzanne Webster | Counselor | 2906 Ridge Rd Nw, Wilson, NC 27896-1100 | 2009-05-15 |
| 1265620330 | Kim Davis Watson | Counselor | 1716 Wilshire Blvd N, Wilson, NC 27893-1856 | 2007-10-14 |
| 1962541771 | Opportunities Industrialization of Wilson, Incorporated | Counselor | 801 Reid St E, Wilson, NC 27893-5340 | 2007-02-06 |
| 1164826806 | Access Family Services, Inc. | Counselor | 114 Spruce St W, Wilson, NC 27893-3944 | 2014-10-09 |
| Find all providers in WILSON | ||||
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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.