Denny Michael Wilson, CDCA/OPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

001303 Issued in OH

Practice address

1445 Frederick Blvd
Akron, OH 44320-3329

Phone

(330) 459-5563

Fax

(888) 422-2759

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1366003089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 FREDERICK BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203329",
            "telephone_number": "330-459-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 FREDERICK BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203329",
            "telephone_number": "330-459-5563",
            "fax_number": "888-422-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DENNY",
        "middle_name": "MICHAEL",
        "credential": "CDCA/OPRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "001303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO PEER RECOVERY SUPPORTER",
            "identifier": "001303",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilson@ficommunityhousing.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 Frederick Blvd",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443203329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany Wilson
• Bridget Erin Wilson, M.A., LPC
• Catrease M Wilson
• Dakara Wilson, CNP
• Dan Edward Wilson, D.D.S.
• Fredrick Sheron Wilson
• Heather Wilson
• James Allen Wilson, MD
• Jarus John Wilson, DO
• Jasmine Wilson

• Peer Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.