CHANCE D WILSON (NPI# 1881934297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881934297 |
| Entity Type | Individual |
| Full Name | CHANCE D WILSON |
| Credential | B.S. |
| Practice Address |
804 W Choctaw Ave Chickasha OK 73018-2310 |
| Practice Telephone | 4052220622 |
| Practice Fax Number | 4052249532 |
| Mailing Telephone | 4052220622 |
| Mailing Fax Number | 4052249532 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2015-09-22 |
| 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 |
| Street Address |
804 W CHOCTAW AVE |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306959077 | Nathan Ray Wilson | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2006-08-16 |
| 1992344808 | Steven Wayne Chandler | Case Manager/Care Coordinator | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-12-26 |
| 1356984785 | Guy Huggins Jr. | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-10-17 |
| 1164079307 | David Albert Trevino Jr. | Technician, Pathology | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-08-22 |
| 1205482445 | Dawnshaye Renee Blakes | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-08-14 |
| 1073167086 | Alicia Jasmine Martinez | Case Manager/Care Coordinator | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-07-29 |
| 1467019828 | Amy Janelle Craig | Nurse Practitioner | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-05-21 |
| 1710444955 | Rebecca D. Cantrell | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-02-25 |
| 1710457064 | Kristen Korren Ford | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2018-11-29 |
| 1760967251 | Oklahoma Mental Health Council | Clinic/Center | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| Find all providers in zip 73018 | ||||
| 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 |
|---|---|---|---|---|
| 1497097034 | Brittany Leah Abshire | Counselor | 1327 Park Ave, Chickasha, OK 73018-6628 | 2013-03-21 |
| 1669667085 | Steve Edgar Burdex | Counselor | 198 East Almar Ave., Chickasha, OK 73023-0829 | 2007-09-10 |
| 1932304334 | Sheila Wilson | Counselor | 198 E. Almar, Chickasha, OK 73023-0829 | 2007-06-18 |
| 1174742514 | Willie James Mays Jr. | Counselor | 198 East Almar, Chickasha, OK 73023-0829 | 2007-04-24 |
| 1073037842 | Emily Brooke Perkins | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2017-08-02 |
| 1710340401 | Lacey Bates | Counselor | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2016-03-31 |
| 1508298282 | Nathan Bauman | Counselor | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2013-08-05 |
| 1346588746 | Bibi Ann Mabry | Counselor | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2013-01-21 |
| 1053695064 | Robyn M Williams | Counselor | 210 S 4th St, Chickasha, OK 73018-3460 | 2011-10-10 |
| 1154619690 | Bailee A Taylor | Counselor | 117 S 7th St, Chickasha, OK 73018-3301 | 2011-07-19 |
| Find all providers in CHICKASHA | ||||
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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.