Active NPI
Sandy Kay Wilson, D. MIN.
- Counselor
- Happy Valley, OR
National Provider Identifier
1295042109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NONE
- Practice address
- 8305 SE Monterey Ave Ste 220
Happy Valley, OR 97086-7753 - Phone
- (503) 659-4082
- Fax
- (503) 659-4951
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NONE | Primary |
Addresses
Primary practice location
8305 SE Monterey Ave Ste 220
Happy Valley, OR 97086-7753
Mailing address
8305 SE Monterey Ave Ste 220
Happy Valley, OR 97086-7753
Phone (503) 659-4082
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1295042109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8305 SE MONTEREY AVE STE 220",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867753",
"telephone_number": "503-659-4082",
"fax_number": "503-659-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 SE MONTEREY AVE STE 220",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867753",
"telephone_number": "503-659-4082",
"fax_number": "503-659-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SANDY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D. MIN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.