Sammy Wilson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3628 Mine Rd Ste D
Fredericksburg, VA 22408-0224

Phone

(512) 262-8107

NPI assigned

Nov 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

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    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1730725375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MINE RD STE D",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080224",
            "telephone_number": "512-262-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MINE RD STE D",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080224",
            "telephone_number": "512-262-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SAMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
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            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
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            "taxonomy_group": "",
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            "state": null,
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        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
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        },
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            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
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        },
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            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
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        },
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            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
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            "taxonomy_group": "",
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            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
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        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
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        },
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            "code": "251B00000X",
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            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
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        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
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        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
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        },
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            "code": "344600000X",
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}

• Jennifer Leigh Wilson, F.N.P.
• Johanna A Wilson, PTA
• Leon M Wilson, LPC
• Madeleine Avery Wilson, MD
• Madison S Wilson
• Shannon Leigh Wilson
• Margaret Windland, FNP
• Wings of Hope Therapy
• Sheryl L Winkler, LCSW
• Gena Anne Winn, LMT

• Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.