JEAN WILSON (NPI# 1134387376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134387376 |
| Entity Type | Individual |
| Full Name | JEAN WILSON |
| Credential | LCSW |
| Practice Address |
1133 W Mill Rd Ste 211 Evansville IN 47710-3806 |
| Practice Telephone | 8124990412 |
| Mailing Telephone | 8124990412 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2013-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 34005035A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | IN LCSW | 34005035A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740568450 | Jean Wilson | Registered Nurse | 319 Stanley Ave, Bayonne, NJ 07002-5068 | 2011-07-29 |
| 1720161094 | Jean K Wilson | Physical Therapist | 9720 Sw 162nd St, Miami, FL 33157-3318 | 2006-10-23 |
| 1700866266 | Jean Ellen Wilson | Family Medicine | 880 W Liberty St, Hubbard, OH 44425-1753 | 2006-01-20 |
| 1013185560 | Jean M Wilson | Social Worker | 998 Library Ct, Oregon City, OR 97045-4041 | 2008-02-19 |
| 1417131780 | Jean Rachael Wilson | Substance Abuse Rehabilitation Facility | 1515 Bath St, Santa Barbara, CA 93101-3024 | 2007-12-21 |
| 1306945134 | Jean Donald Wilson | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-09-21 |
| Street Address |
1133 W MILL RD STE 211 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962919787 | Charlene Ann Drake | Counselor | 728 N Cross Pointe Blvd Ste 102, Evansville, IN 47715-9163 | 2018-01-02 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1326352287 | Russell Edward Vance IIi | Counselor | 8000 Lauderdale Dr, Evansville, IN 47715-6238 | 2010-08-03 |
| 1366695637 | Lori Anne Riley | Counselor | 101 Plaza East Blvd Ste 224, Evansville, IN 47715-2806 | 2008-10-29 |
| 1275759888 | Deborah Hetzler | Counselor | 10621 Birdie Dr, Evansville, IN 47725-8018 | 2007-04-18 |
| 1316160096 | James W Ward | Counselor | 2700 W Indiana St, Evansville, IN 47712-5637 | 2007-04-11 |
| 1346316890 | Alice Sobotka | Counselor | 427 S Spring St, Evansville, IN 47714-1550 | 2006-11-27 |
| 1962027904 | Elizabeth Crystal Graham | Counselor | 60 S Stockwell Rd, Evansville, IN 47714-0247 | 2020-06-16 |
| 1538706379 | Matthew W Elliott | Counselor | 629 Ingle St, Evansville, IN 47708-1345 | 2019-11-27 |
| 1093288664 | Amber Lashae Nunaley | Counselor | 4847 E Virginia St, Evansville, IN 47715-2611 | 2019-01-07 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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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.