Sonja Ann Wilder, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

06-11-52 Issued in OR

Practice address

3647 Highway 39
Klamath Falls, OR 97603-2612

Phone

(541) 884-5244

Fax

(541) 884-1105

NPI assigned

Feb 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Sonja Ann Schobert Former name

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.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1982901120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 HIGHWAY 39",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976032612",
            "telephone_number": "541-884-5244",
            "fax_number": "541-884-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 HIGHWAY 39",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976032612",
            "telephone_number": "541-884-5244",
            "fax_number": "541-884-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "SONJA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "06-11-52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136460",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "SCHOBERT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn B Wieder, MSW
• Timothy Edward Wieting
• Tyler Wieting
• Vicki Wieting
• Jenny Renee Wilder de la Rosa, CRM PSS
• Anne Wiles
• Craig S. Willers
• Emily Williams
• Jay Taylor Williams, M.D.
• Joanna Lynn Williams, TBA

• Addiction (Substance Use Disorder) Counselor in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.