Individual provider Active NPI

Sandy Kay Wilson, D. MIN.

  • Counselor
  • Happy Valley, OR
National Provider Identifier
1295042109
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Sep 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.