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COBY WILSON
NPI 1669157749
Counselor - Addiction (Substance Use Disorder) in Lakeview, OR

Active since June 16, 2023
215 N G ST, LAKEVIEW, OR 97630(541) 947-6021 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2024, Jun 16, 2023 (2 updates tracked since 2023).

About Coby Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COBY WILSON (NPI 1669157749) is an individual addiction (substance use disorder) provider in Lakeview, Oregon, licensed in Oregon (24-10-11280) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1669157749
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCOBY WILSON
Location Address215 N G STLakeview, OR 97630-1417
Mailing Address215 N G StLakeview, OR 97630-1417 · (541) 947-6021
Phone(541) 947-6021
Sole ProprietorNo
Enumeration DateJune 16, 2023
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1669157749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 24-10-11280
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
215 N G ST, Lakeview, OR 97630
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA RUTH LEEHMANN
Case Management
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
ALINA M SHARP QMHA
Case Manager/Care Coordinator
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
JACKIE D MCDOUGLE
Counselor (Mental Health)
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
AMANDA LEANN STRAIN
Counselor (Addiction (Substance Use Disorder))
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
MRS. TIFFANY MARIE VALE QMHA CASE MANAGER
Case Manager/Care Coordinator
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
WENDY JEANNETTE HOLT
Counselor (Addiction (Substance Use Disorder))
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
MELODY ARMSTRONG
Peer Specialist
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
MS. JAMA LYNN NELSON QMHA
Case Manager/Care Coordinator
215 N G ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coby Wilson's NPI number?

The NPI number for Coby Wilson is 1669157749. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Coby Wilson located?

Coby Wilson practices at 215 N G St, Lakeview, OR 97630. The listed phone number is (541) 947-6021.

What is Coby Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Coby Wilson was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.