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SAMMY WILSON NPI 1730725375


NPI Information

NPI: 1730725375
Provider Name: SAMMY WILSON
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3628 MINE RD STE D
FREDERICKSBURG, VA
ZIP 22408
Phone: (512) 262-8107
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Sammy Wilson is a counselor in Fredericksburg, VA. The provider is 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. Sammy Wilson NPI is 1730725375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3628 MINE RD STE D
FREDERICKSBURG, VA
ZIP 22408-224
Phone: (512) 262-8107

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103K00000XBehavior AnalystNo
4106S00000XBehavior TechnicianNo
5133NN1002XNutritionistNutrition, EducationNo
6171M00000XCase Manager/Care CoordinatorNo
7174400000XSpecialistNo
81744R1102XSpecialistResearch StudyNo
9174H00000XHealth EducatorNo
10251B00000XCase ManagementNo
11251K00000XPublic Health or WelfareNo
12253Z00000XIn Home Supportive CareNo
13261Q00000XClinic/CenterNo
14344600000XTaxiNo
15101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.