Manervia Genette Gentle Wilemon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC15980 Issued in AZ

Practice address

13000 N 103Rd Ave Ste 74
Sun City, AZ 85351-3056

Phone

(623) 533-5138

NPI assigned

Jan 8, 2018

Sex

Female

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

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1194232595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 74",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513056",
            "telephone_number": "623-533-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 74",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513056",
            "telephone_number": "623-533-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEMON",
        "first_name": "MANERVIA",
        "middle_name": "GENETTE GENTLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC15980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa West, LMT
• White Tanks Counseling PLLC
• Morgan Whitmore
• Shannon Rochele Widney, BSN RN
• Barbara M Wiggin, PHD, ANP-C
• Michael Justin Willcox, MD
• Pamela Williams, M.D.
• Eliza A Williamson, FNP
• Laundrea E Willis
• David Winston, M.D.

• Mental Health Counselor in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.