Stephanie H Wilson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00204900 Issued in NJ

Practice address

227 Donny Brook Dr
Allendale, NJ 07401-1422

Phone

(201) 588-3491

NPI assigned

Aug 24, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Jersey Health and Wellness LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ramsey, NJ
  • NPI 1285005884
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1083195366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 DONNY BROOK DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011422",
            "telephone_number": "201-588-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 DONNY BROOK DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011422",
            "telephone_number": "201-588-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEPHANIE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00204900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J. Walsh, CRNA
• Loretta Sue Weinberg, LCSW
• Kelsey Weingartner, IBCLC, RN
• Wellness Counseling of Bergen County (Politis Therapy Services)
• Catherine Marie White, LCSW
• Marcia Wyrtzen, LCSW

• Addiction (Substance Use Disorder) Counselor in Allendale, NJ
• Providers in Allendale, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.