Trevia D Wilkerson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3036 Issued in AL

Practice address

2020 Paul W Bryant Dr
Tuscaloosa, AL 35401-2312

Phone

(205) 752-2504

Fax

(205) 345-4842

NPI assigned

Aug 12, 2014

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

Other names 1

• Ms. Trevia D Wilkerson Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  AL

  Medicare reassignment Care Compare group NPD
• Family Counseling Service of Tuscaloosa County, Al, Inc.

  • Clinical Social Worker
  • Tuscaloosa, AL
  • NPI 1073922233

  Professional

  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1437568698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PAUL W BRYANT DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012312",
            "telephone_number": "205-752-2504",
            "fax_number": "205-345-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PAUL W BRYANT DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012312",
            "telephone_number": "205-752-2504",
            "fax_number": "205-345-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "TREVIA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREVIA",
            "last_name": "WILKERSON",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Elizabeth Whitt, D.M.D
• Maria Lockridge Wiggins, CRNA
• Valerie U Wiggins, APRN,BC
• Sondra Wilder, CRNP
• James Brian Wilhite, M.D.
• Gavin Ray Wilks, M.D.
• Will Wagner D.M.D., LLC
• Ellen Catherine Willett, PT, DPT
• Williams Eye Center LLC
• Ashley Jenise Williams, ALC,NCC

• Professional Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.