MR. DOUGLAS ALAN WILSON (NPI# 1174833750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174833750 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS ALAN WILSON |
| Credential | MA, LPC |
| Practice Address |
17224 Van Wagoner Rd Spring Lake MI 49456-9702 |
| Practice Telephone | 2317998182 |
| Practice Fax Number | 6162962148 |
| Mailing Telephone | 2317998182 |
| Mailing Fax Number | 6162962148 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401012170 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730260969 | Douglas Smith Wilson | Chiropractor | 2615 S Miller St Ste 108, Santa Maria, CA 93455-1775 | 2006-10-17 |
| 1164533345 | Douglas W Wilson | Dentist | 100 River Place, Suite 110, Madison, WI 53716 | 2006-08-31 |
| 1285693572 | Douglas Richard Wilson | Family Medicine | 1141 Pear Tree Lane, Suite 100, Napa, CA 94558-6485 | 2006-03-23 |
| 1346235702 | Douglas C. Wilson | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2005-09-13 |
| 1235138876 | Douglas J Wilson | Optometrist | 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 | 2005-07-15 |
| 1407417538 | Douglas Van Wilson | Nurse Practitioner | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2019-06-28 |
| 1083101422 | Douglas Alan Wilson | Pharmacist | 1814 Spring Rd, Carlisle, PA 17013-1150 | 2018-04-20 |
| 1467658369 | Douglas Eugene Wilson | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2007-06-26 |
| 1679797260 | Douglas Glen Wilson | Emergency Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-04-13 |
| 1518087154 | Douglas K. Wilson | Physical Therapist | 1217 S Greeley Hwy Ste A, Cheyenne, WY 82007-3063 | 2007-03-29 |
| Street Address |
17224 VAN WAGONER RD |
| City | SPRING LAKE |
| State | MI |
| Zip Code | 49456-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316010770 | Kristine Koetje Ma, PC | Psychologist | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2006-11-15 |
| 1518589126 | Shandra Smith | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2020-05-18 |
| 1942857552 | Cindy Joy Steenstra | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2019-08-20 |
| 1942702816 | Adam Richard Shanty | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2018-03-06 |
| 1396283826 | Douglas Moorhead | Psychologist | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2017-02-03 |
| 1598120545 | Kristine Koetje, Ma Lp | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-12-17 |
| 1871967018 | Cheryl Kallio | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-11-28 |
| 1770956864 | Compassionate Christian Counseling | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376066001 | Kathleen Ann Bates | Nurse Practitioner | 16036 Baird Dr, Spring Lake, MI 49456 | 2017-07-25 |
| 1174859763 | David A Buursma | Physical Therapist | 16140 148th Avenue, Spring Lake Community Fitness & Aquatic Center, Spring Lake, MI 49456 | 2009-11-02 |
| 1720314552 | Arthur Linwood Brown II | Surgery | 18925 North Shore Dr., Spring Lake, MI 49456 | 2009-10-29 |
| 1700050531 | Ann Holmgren Harris | Clinical Nurse Specialist | 17353 Hazel St, Suite 212, Spring Lake, MI 49456 | 2008-04-14 |
| 1932320421 | Julie A Bench | Physical Therapist | 15414 Stoneridge Ct, Spring Lake, MI 49456 | 2007-05-01 |
| 1730304130 | Phillip Allen Morse | Pharmacist | 603 E Savidge, Spring Lake, MI 49456 | 2007-04-13 |
| 1821125592 | Patrick Scott Karwowski | Pharmacist | 603 E Savidge St, Spring Lake, MI 49456 | 2007-02-28 |
| 1528126521 | Debra Kaye Cargo | Social Worker | 107 South Division, Spring Lake, MI 49456 | 2006-12-04 |
| 1396821377 | Hometown Pharmacy Inc | Pharmacy | 17717 174th Ave, Spring Lake, MI 49456 | 2006-10-31 |
| 1710071360 | Link Dephouse | Physical Therapist | 16200 Old Orchard Dr, Spring Lake, MI 49456 | 2006-10-03 |
| Find all providers in zip 49456 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595222 | Laura Steelman Callahan | Counselor | 309 Tuttle Ave, Spring Lake, NJ 07762-1539 | 2014-11-12 |
| 1487902003 | Sacred Space Counseling | Counselor | 17214 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2012-08-29 |
| 1477685147 | Lynn Marie Snyder | Counselor | 2006 State Route 71 Ste 1, Spring Lake, NJ 07762-2283 | 2007-03-09 |
| 1538768643 | Karen Jean Alkema | Counselor | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2020-10-20 |
| 1518589126 | Shandra Smith | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2020-05-18 |
| 1417592122 | Recore Counseling and Consulting, Inc | Counselor | 17214 Van Wagoner Rd, Spring Lake, MI 49456-9780 | 2019-11-18 |
| 1942857552 | Cindy Joy Steenstra | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2019-08-20 |
| 1699267930 | Emmitt Maxwell Furner II | Counselor | 104 Lake Ave, Spring Lake, NC 28390-3937 | 2018-06-02 |
| 1962928697 | Spring Lake Counseling Inc. | Counselor | 203 S Main St, Spring Lake, NC 28390-3902 | 2017-08-15 |
| 1770956864 | Compassionate Christian Counseling | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-11-11 |
| Find all providers in SPRING LAKE | ||||
| City | SPRING LAKE |
| Zip Code | 49456 |
Please comment or provide details below to improve the information on MR. DOUGLAS ALAN WILSON.
| 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.