JENISE DELORES WILSON (NPI# 1063934230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063934230 |
| Entity Type | Individual |
| Full Name | JENISE DELORES WILSON |
| Credential | MS, LPCC |
| Practice Address |
1139 S 12th St Ste B Bismarck ND 58504-6631 |
| Mailing Address |
402 E Brandon Dr Bismarck ND 58503-0409 |
| Practice Telephone | 7013917399 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2020-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
786-6-1-14 | ND | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
786-6-1-14-293 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1472904 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4501 Coleman St Ste 103, Bismarck, ND 585030996 | 7017516336 | |
| 107 W Main Ave Ste 225, Bismarck, ND 585013873 | 7017514122 |
| Street Address |
1139 S 12TH ST STE B |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1154727873 | William J Kucera | Physical Therapist | 324 Marietta Dr, Bismarck, ND 58504 | 2014-11-06 |
| Find all providers in zip 58504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110383 | Beacon Counseling Services Pllc | Counselor | 225 Frontage Pl, Bismarck, ND 58501-8606 | 2020-10-08 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1285147900 | Discovery Christian Counseling | Counselor | 1915 N Kavaney Dr Ste 4, Bismarck, ND 58501-1785 | 2017-11-16 |
| 1598202624 | Michelle Marie Richter | Counselor | 1308 Elbowood Ln, Bismarck, ND 58503-5712 | 2017-01-26 |
| 1538549829 | Anna Weisbeck | Counselor | 101 Slate Dr Ste 2, Bismarck, ND 58503-6171 | 2015-06-02 |
| 1790193258 | Christina Michaelson | Counselor | 2207 E Main Ave, Bismarck, ND 58501-4910 | 2014-07-29 |
| 1821329079 | Anna J Thompson | Counselor | 107 W Main Ave Ste 225, Bismarck, ND 58501-3873 | 2010-01-27 |
| 1477786416 | Jennifer Schaible | Counselor | 1915 N Kavaney Dr, Suite 4, Bismarck, ND 58501-1768 | 2009-08-25 |
| 1487862975 | Kirby C Schmidtgall | Counselor | 1009 N 14th St, Bismarck, ND 58501-4246 | 2007-05-18 |
| 1942413968 | Julie Dickerson | Counselor | 3399 Finch Road, Bismarck, AR 71929 | 2007-05-07 |
| Find all providers in BISMARCK | ||||
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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.