Active NPI
Celia Wilson, MA, OC PSII, CDCA
- Health Educator
- Cleveland, OH
National Provider Identifier
1760794291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 1094-C08
- Practice address
- 3905 E 153Rd Street
Cleveland, OH 44128-1174 - Phone
- (440) 317-2496
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 1094-C08 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 080581 | OH |
Addresses
Primary practice location
3905 E 153Rd Street
Cleveland, OH 44128-1174
Mailing address
PO Box 202644
Cleveland, OH 44120-8127
Phone (440) 317-2496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080581 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 1094-C08 | OH | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1760794291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202644",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441208127",
"telephone_number": "440-317-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 E 153RD STREET",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441281174",
"telephone_number": "440-317-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CELIA",
"credential": "MA, OC PSII, CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "OH",
"license": "1094-C08",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "080581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.