Dana Wilson, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L6404 Issued in OR

Practice address

58646 McNulty Way
Saint Helens, OR 97051-6210

Phone

(503) 397-5211

Fax

(503) 397-5373

NPI assigned

Dec 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Columbia Community Mental Health

  • Psychiatric Residential Treatment Facility
  • Saint Helens, OR
  • NPI 1174372999
  NPD (past)

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1497085153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1234",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970518234",
            "telephone_number": "503-397-5211",
            "fax_number": "503-397-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58646 MCNULTY WAY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516210",
            "telephone_number": "503-397-5211",
            "fax_number": "503-397-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-30029",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L6404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123190",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807675800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Lyle Wilburn, CRM
• Lana Deila Wilkes, QMHA
• William P.E. Moore, DMD, LLC
• Misty C.a.P. Williams, LMT
• Andrea Wilson, RN,BSN
• Michele Wilson
• Shellyene Winans
• Racheal Rae Wolvert
• Michelle Karine Worden Brosey
• Dale Michael Wright, QMHA

• Mental Health Counselor in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.