MR. BENJAMIN RUSSELL WILSON (NPI# 1093257461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093257461 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN RUSSELL WILSON |
| Credential | LLPC |
| Practice Address |
6461 Dawn Dr Bellevue MI 49021-8411 |
| Mailing Address |
6461 Dawn Dr. Bellevue MI 49021 |
| Practice Telephone | 2699862844 |
| Mailing Telephone | 2699862844 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401015351 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1235663204 | Benjamin David Wilson | Student in an Organized Health Care Education/Training Program | 169 16th St Apt 3b, Brooklyn, NY 11215-4415 | 2017-04-17 |
| 1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1700434636 | Benjamin Martin Wilson | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-09-04 |
| 1598310088 | Benjamin Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-02 |
| 1316506959 | Benjamin Montgomery Wilson | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2019-06-07 |
| 1629539143 | Benjamin Thomas Wilson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2019-03-27 |
| 1598225583 | Benjamin Frederick Wilson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-25 |
| 1245723493 | Benjamin Joseph Robert Wilson | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-06-12 |
| Street Address |
6461 DAWN DR |
| City | BELLEVUE |
| State | MI |
| Zip Code | 49021-8411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250848 | David L Lindow Dds PC | Clinic/Center | 606 N Main Street, Bellevue, MI 49021 | 2007-05-03 |
| 1942771258 | Mobility 1 Transport LLC | Transportation Broker | 123 N Main St # 3, Bellevue, MI 49021-1231 | 2018-12-12 |
| 1346525540 | Jennifer A Millen | Pharmacist | 117 N Main St, Bellevue, MI 49021-1231 | 2011-10-19 |
| 1922167873 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 117 N Main St, Bellevue, MI 49021-1231 | 2006-12-07 |
| 1609925791 | Teresa Ann Koch-ely | Dentist | 120 N Main St, Bellevue, MI 49021-1232 | 2007-01-09 |
| 1679795058 | Bellevue Medical Services | Family Medicine | 205 N Main St, Bellevue, MI 49021-1233 | 2007-05-03 |
| 1043287451 | Waldo E Frankenstein | Family Medicine | 205 N Main St, Bellevue, MI 49021-1233 | 2006-03-03 |
| 1003474768 | Magan Rivera | Physical Therapy Assistant | 212 W Caroline St, Bellevue, MI 49021-1336 | 2019-05-29 |
| 1942691191 | Stoneridge Adult Foster Care | Assisted Living Facility | 4825 Fruin Rd, Bellevue, MI 49021-8209 | 2015-02-10 |
| 1720630734 | Stone Ridge Afc | Assisted Living Facility | 4825 Fruin Rd, Bellevue, MI 49021-8209 | 2019-07-10 |
| Find all providers in zip 49021 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1255792594 | Audrey Cook | Counselor | 817 Kilbourne Street, Suite G, Bellevue, OH 44811-9431 | 2016-03-15 |
| 1659658557 | Nancy E Allin | Counselor | 16825 Ne 19th Pl, Bellevue, WA 98008-2667 | 2011-11-07 |
| 1801109962 | Kristen L Treat | Counselor | 13509 S 44th St, Bellevue, NE 68123-6253 | 2010-07-19 |
| 1902131220 | Donna Coombs Lmhc | Counselor | 1400 112th Ave Se Ste 221, Bellevue, WA 98004-6901 | 2009-10-04 |
| 1134260896 | Ann Sparling White | Counselor | 5692 179th Ave Se, Bellevue, WA 98006-5931 | 2007-02-08 |
| 1922155183 | Breanna Martine Jeffries | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2007-01-03 |
| 1932204559 | Julie Diane Wood | Counselor | 1715 114th Ave Se Ste 208, Bellevue, WA 98004-6906 | 2006-09-14 |
| 1861002925 | Johnny S Tock | Counselor | 2002 156th Ave Ne Ste 100, Bellevue, WA 98007-3827 | 2020-08-04 |
| 1104465731 | Rachel Foster | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-12-30 |
| Find all providers in BELLEVUE | ||||
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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.