Leven Wilson II

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7920 Gunn Hwy
Tampa, FL 33626-1613

Phone

(813) 997-9893

NPI assigned

Nov 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mr. Chuck Wilson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wheat Community Services Inc

  • Health Service Clinic/Center
  • Greenacres, FL
  • NPI 1699359547
  NPD (past)
• Wheat Community Services Inc

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1932722162
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1508011321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W MACLAURIN DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471164",
            "telephone_number": "813-455-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261613",
            "telephone_number": "813-997-9893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3202 N Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336036032",
            "country_code": "US",
            "telephone_number": "813-997-9893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021505",
            "country_code": "US",
            "telephone_number": "813-997-9893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 NE 203rd St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331801945",
            "country_code": "US",
            "telephone_number": "813-997-9893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 Prosperity Farms Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "FL",
            "postal_code": "334032046",
            "country_code": "US",
            "telephone_number": "813-997-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "WILSON",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Nicole Goss Wilson, M.D.
• Larry Wilson, D.C.
• Latisha Shamala Wilson, BEH TECHN ICIAN
• Lauren Ashley Wilson, PHARMD
• Lawrence Steven Wilson, MD.
• Mandi Wilson, M.S., CCC-SLP
• Mikayla Wilson
• Nancy Joann Wilson, P.A. PHYSICIAN ASSIS
• Olivia Dawn Wilson, DNP, APRN, CPNP-PC
• Paxton Wilson, PT, DPT

• Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.