Active NPI
Allison Wildman Wildman, CADCII
- Addiction (Substance Use Disorder) Counselor
- Hinesville, GA
National Provider Identifier
1245695568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 254
- Practice address
- 104 N Commerce St
Hinesville, GA 31313-2720 - Phone
- (912) 877-3600
- Fax
- (912) 877-0421
- NPI assigned
- Dec 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 254 | GA | Primary |
Addresses
Primary practice location
104 N Commerce St
Hinesville, GA 31313-2720
Mailing address
104 N Commerce St
Hinesville, GA 31313-2720
Phone (912) 877-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254 | GA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1245695568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N COMMERCE ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132720",
"telephone_number": "912-877-3600",
"fax_number": "912-877-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N COMMERCE ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132720",
"telephone_number": "912-877-3600",
"fax_number": "912-877-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDMAN",
"first_name": "ALLISON WILDMAN",
"credential": "CADCII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-31",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.