Anne E Wilzbacher

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17309 Issued in NC

Practice address

236 File St
Clayton, GA 30525-3023

Phone

(970) 426-9207

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By 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.

• Second Nature Blue Ridge, LLC

  dba DBA Blue Ridge Therapeutic Wilderness

  • Psychiatric Residential Treatment Facility
  • Clayton, GA
  • NPI 1427562750
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1245983717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 FILE ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305253023",
            "telephone_number": "970-426-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 FILE ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305253023",
            "telephone_number": "970-426-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILZBACHER",
        "first_name": "ANNE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "17309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura P West, M.D.
• John Richard Williams I, PA-C
• Paulette Williams, CDE, RD, & LD
• Rebecca Jo Williams, FNP-C
• Taylor Williams, APRN
• Chester John Bato Yocor

• Professional Counselor in Clayton, GA
• Providers in Clayton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.