ERICA WILSON NPI 1003448622

Peer Specialist in Riverside, CA

Individual Female Peer Specialist

About ERICA WILSON

Erica Wilson is a provider established in Riverside, California and her medical specialization is peer specialist. The NPI number of Erica Wilson is 1003448622 and was assigned on February 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated February 2020.

NPI

1003448622

Provider Name ERICA WILSON
Provider Location Address9890 COUNTY FARM RD STE 3 RIVERSIDE, CA 92503
Provider Mailing Address9890 COUNTY FARM RD STE 3 RIVERSIDE, CA 92503
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-11-2020
Last Update Date02-11-2020

Primary Taxonomy

Taxonomy Code175T00000X
ClassificationPeer Specialist
TypeOther Service Providers
License StateCA
Taxonomy DescriptionIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Business Address

ERICA WILSON
9890 COUNTY FARM RD STE 3
RIVERSIDE, CA
ZIP 92503
Phone: (951) 509-8320

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Mailing Address

ERICA WILSON
9890 COUNTY FARM RD STE 3
RIVERSIDE, CA
ZIP 92503
Phone: (951) 509-8320

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295927648 STEPHAN ROCHELLE
Individual
Counselor9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1336508076 CARMEN DELGADO-RAZO
Individual
Counselor (Mental Health)9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1396214243 HEIDI VERCAIGNE
Individual
Peer Specialist9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1396385696 ADOLFO VINICIO GIRON LVN
Individual
Licensed Vocational Nurse9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1407481773 LAUREN MCCORMICK
Individual
Licensed Vocational Nurse9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1487294773MRS. TABITHA LYNNE JOHNSON
Individual
Counselor (Mental Health)9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1497241780 CYNTHIA BARNETT
Individual
Counselor (Mental Health)9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8322
1548895972 GRECIA CAROLINA GARCIA
Individual
Peer Specialist9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1558995233 SUHA KAVAK
Individual
Psychiatric Residential Treatment Facility9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1598390718 LIZBETH GOMEZ HARO
Individual
Peer Specialist9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1730714122 SARAH ADARKWA
Individual
Peer Specialist9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1811414428 JENNIFER LYNN REDWINE
Individual
Licensed Vocational Nurse9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1821569229MRS. ROSALINDA NUNEZ
Individual
Behavior Technician9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8320
1841718921MS. DEENISE CASSEY VILLAGRAN
Individual
Marriage & Family Therapist9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8331
1851879373 KERY SILVA
Individual
Counselor (Mental Health)9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503
(951) 509-8331

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.