MR. PETER BROOK WILKINS (NPI# 1972526010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972526010 |
| Entity Type | Individual |
| Full Name | MR. PETER BROOK WILKINS |
| Credential | LCSW |
| Practice Address |
4054 Mckinney Ave Suite 102 Dallas TX 75204-8212 |
| Mailing Address |
6024 Marquita Ave Dallas TX 75206-6118 |
| Practice Telephone | 2145206308 |
| Practice Fax Number | 2145219172 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
32801 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4054 MCKINNEY AVE SUITE 102 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-8212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530868 | Stephen Knight | Counselor | 4054 Mckinney Ave, #102, Dallas, TX 75204-8212 | 2016-10-25 |
| 1013469063 | Jonathan Todd | Counselor | 4054 Mckinney Ave, 102, Dallas, TX 75204-8212 | 2016-10-25 |
| 1043678105 | Teresa Irene Castleman | Counselor | 4054 Mckinney Ave, 212, Dallas, TX 75204-8212 | 2016-02-04 |
| 1255730628 | Jodi White | Counselor | 4054 Mckinney Ave, Suite 212, Dallas, TX 75204-8212 | 2014-08-21 |
| 1265854012 | Joseph Dustin Cobb | Social Worker | 4054 Mckinney Ave, #102, Dallas, TX 75204-8212 | 2014-01-14 |
| 1477975407 | Gail Elizabeth Atwater I | Social Worker | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-8212 | 2014-01-10 |
| 1225459530 | Raymond Castilleja Jr. | Social Worker | 4054 Mckinney Ave, Ste. 102, Dallas, TX 75204-8212 | 2014-01-04 |
| 1730463803 | Charles Derek Adleta | Marriage & Family Therapist | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-8212 | 2011-10-06 |
| 1720237514 | Jo Anne S. Spears | Social Worker | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-8212 | 2008-09-16 |
| 1194733212 | Melissa Jean Grove | Counselor | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-8212 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| 1316546385 | Paola Guadalupe Garcia | Counselor | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 |
| 1447858378 | Theresa Lashonda Lucie Moody | Counselor | 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 | 2020-10-13 |
| 1609473693 | Donna Smith | Counselor | 3766 Seguin Dr, Dallas, TX 75220-6329 | 2020-10-03 |
| 1659978849 | Brian Williams | Counselor | 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 | 2020-10-01 |
| 1285241349 | Nichole Gabrielle Brown | Counselor | 5045 Thunder Rd, Dallas, TX 75244-6546 | 2020-09-23 |
| 1366058588 | Vicki Smith-lockhart | Counselor | 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 | 2020-09-22 |
| 1881206928 | Angela Grace Leach | Counselor | 6511 Walnut Hill Ln, Dallas, TX 75230-5318 | 2020-08-19 |
| 1093324055 | Alita Rose Andrews | Counselor | 3905 Highgrove Dr, Dallas, TX 75220-3753 | 2020-07-27 |
| Find all providers in DALLAS | ||||
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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.