Individual provider Active NPI

Wilhelmenia Howell, PHD

  • Clinical Psychologist
  • Valdosta, GA
National Provider Identifier
1386670115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY001796 Issued in GA
Practice address
303 Woodrow Wilson Dr
Valdosta, GA 31602-2537
Phone
(229) 244-5000
Fax
(229) 244-0808
NPI assigned
Jun 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY001796 GA Primary

Addresses

Primary practice location

303 Woodrow Wilson Dr
Valdosta, GA 31602-2537

Mailing address

303 Woodrow Wilson Dr
Valdosta, GA 31602-2537
Phone (229) 244-5000

Other identifiers 1

IdentifierTypeStateIssuer
38829888AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000149 GA Practitioner - Clinical Psychologist 6002867504 Practice locations: Valdosta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Michigan State University College of Human Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2405 Bemiss Rd
Valdosta, GA 31602-1936
Phone (229) 333-2351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY001796GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceway Counseling & Mediation Services Inc. PastSince Mar 6, 2026 Accepting new patients
One-to-One Psychological Services Clinical Past Accepting new patients
Livingstone a. Rasalam, M.D. P.C. PastSince Jun 15, 2014 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386670115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022537",
            "telephone_number": "229-244-5000",
            "fax_number": "229-244-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022537",
            "telephone_number": "229-244-5000",
            "fax_number": "229-244-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "WILHELMENIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38829888A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.