MICHELE YVONNE WILSON (NPI# 1003987736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003987736 |
Entity Type | Individual |
Full Name | MICHELE YVONNE WILSON |
Credential | M.S.ED. |
Practice Address |
2210 W Laguna Rd Lincoln NE 68522-1153 |
Practice Telephone | 4025250733 |
Mailing Telephone | 4025250733 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
407 | NE | Behavioral Health & Social Service Providers |
X | 101YM0800X |
Counselor Specialization: Mental Health |
1681 | NE | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
1017 | NE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025441800 | 05 | |
NE | BLUE CROSS BLUE SHIELD | 85542 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396165924 | Michele Lee Wilson | Counselor | 2925 Pga Blvd, Suit 204, Palm Beach Gardens, FL 33410-2909 | 2014-04-22 |
1982978367 | Michele Mcnalley Wilson | Physician Assistant | 10704 Whitehaven Rd, Oklahoma City, OK 73120-3111 | 2012-03-01 |
1841450095 | Michele Drisko Wilson | Audiologist | 4010 Barranca Parkway, Ste 220, Irvine, CA 92604-4711 | 2008-06-11 |
1760653018 | Michele J Wilson | Licensed Practical Nurse | 7722 Maple Rd, Baldwinsville, NY 13027-8104 | 2008-03-14 |
1386298206 | Michele Wilson | Speech-Language Pathologist | 260 E Chase Ave Ste 204, El Cajon, CA 92020-6300 | 2019-07-29 |
1437690427 | Michele Wilson | Technician, Other | 32100 Telegraph Rd Ste 185, Bingham Farms, MI 48025-2453 | 2017-03-10 |
1013453695 | Michele R Wilson | Counselor | 433 N Hoover St, Los Angeles, CA 90004-2306 | 2017-01-06 |
1245614395 | Michele E Wilson | Psychologist | 6425 Schaefer Rd, Suite 2, Dearborn, MI 48126 | 2015-07-17 |
1003151457 | Michele Wilson | Counselor | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2012-12-11 |
1013096239 | Michele Wilson | Speech-Language Pathologist | 3148 W Central Ave, Toledo, OH 43606-2920 | 2006-11-06 |
Street Address |
2210 W LAGUNA RD |
City | LINCOLN |
State | NE |
Zip Code | 68522-1153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356867535 | Claire Marie Retka | Speech-Language Pathologist | 2323 S Coddington Ave., Lincoln, NE 68522 | 2017-08-18 |
1558745851 | Joelle Marie Vogltance | Nurse Practitioner | 600 West E. Street, Lincoln, NE 68522 | 2015-07-16 |
1205264231 | Coddington Medical Family Practice | Clinic/Center | 1336 West A Street, Suite A, Lincoln, NE 68522 | 2013-10-30 |
1376686303 | Rajeev Chaturvedi | Psychiatry & Neurology | West Prospector Place & South Folsom Streets, Dhhs, Lincoln, NE 68522 | 2007-02-15 |
1982606703 | Louise Stanton Stone | Counselor | Folson & W Prospector Streets, Lincoln, NE 68522 | 2005-08-11 |
1619526894 | Resilient Mind Counseling | Clinic/Center | 2554 Sw 19th St, Lincoln, NE 68522 | 2019-09-10 |
1437688868 | Echo L Kopplin | Physician Assistant | 1336 W A St, Lincoln, NE 68522 | 2017-06-08 |
1043400807 | Developmental Services of Nebraska, Inc. | Community/Behavioral Health | 2610 W M Ct, Lincoln, NE 68522-1006 | 2007-07-27 |
1689044802 | Tiffany Eisenbraun | Counselor | 2610 W M Ct, Lincoln, NE 68522-1006 | 2015-09-30 |
1619016193 | Teddi A Reckling | Counselor | 2211 W Millstone Rd, Lincoln, NE 68522-1168 | 2007-02-05 |
Find all providers in zip 68522 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497352579 | Kendra Bishop | Counselor | 2109 S 24th St, Lincoln, NE 68502-4002 | 2020-10-02 |
1992320980 | Eric Johnson LLC | Counselor | 301 S 70th St Ste 313, Lincoln, NE 68510-2469 | 2020-06-15 |
1730712977 | Justin Michael Antons | Counselor | 127 S 37th St Ste B, Lincoln, NE 68510-1502 | 2020-02-17 |
1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
1285285379 | Victoria Brock | Counselor | 5351 Colby St, Lincoln, NE 68504-3044 | 2019-09-20 |
1912553199 | Christopher Wayne Jobman | Counselor | 2554 Sw 19th St, Lincoln, NE 68522-2455 | 2019-08-14 |
1942865399 | Jennifer Michelle Rokeby-mayeux | Counselor | 1231 North 38th Street, Lincoln, NE 68504 | 2019-05-01 |
1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
1568968048 | Gary Chalon Moon | Counselor | 385 Lilac Ln, Lincoln, CA 95648-8165 | 2018-04-03 |
Find all providers in LINCOLN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.