David Lawrence Wilson, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP 00002873 Issued in WA

Practice address

702 E. Franklin Avenue
Sunnyside, WA 98944-0997

Phone

(509) 837-7700

Fax

(509) 838-7311

NPI assigned

Aug 14, 2013

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• The Valley Alcohol Council, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Sunnyside, WA
  • NPI 1750427019
  NPD (past) Authorized official
• The Valley Alcohol Council

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sunnyside, WA
  • NPI 1366540494

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1104259167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440997",
            "telephone_number": "509-837-7700",
            "fax_number": "509-838-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E. FRANKLIN AVENUE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440997",
            "telephone_number": "509-837-7700",
            "fax_number": "509-838-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 00002873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Weber, PA-C
• Robert Richard Wells, MD
• Lincoln Jon Westfall, D.O.
• Helena Marie White, LMT
• Chad Garth Williams, M.D.
• Kayla Withers, DPT
• Victor Charles Withers, OTR L
• Douglas Edward Wrung, MD
• Natalie Susanne Wutzke, LMT
• Yakima Neighborhood Health Services

• Addiction (Substance Use Disorder) Counselor in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.