Ryan James Wilkinson, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-45129 Issued in ID

Practice address

1275 N 400 E Apt F
Rupert, ID 83350-8549

Phone

(801) 228-7082

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1467269175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N 400 E APT F",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833508549",
            "telephone_number": "801-228-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N 400 E APT F",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833508549",
            "telephone_number": "801-228-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "CADC-5082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-45129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dale Wageman, DO
• David O Ward, PHARMD
• Charle A Warren, D.D.S.
• Robert P Wayment, DDS
• Hayden Wheatley, PA-C
• Bill Rhys Williams, O.D.
• Gerald A Woodworth, D.M.D.
• Darin L Wright, MD
• Brad L Wynn, D.O.
• Kevin Nathan Yearsley, PHARM.D

• Mental Health Counselor in Rupert, ID
• Providers in Rupert, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.