MS. JOLENE L WILSON (NPI# 1184094005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184094005 |
Entity Type | Individual |
Full Name | MS. JOLENE L WILSON |
Credential | LPC |
Practice Address |
1607 24th Ave Ste A1 Gulfport MS 39501-2970 |
Mailing Address |
5 Park Dr Gulfport MS 39503-4028 |
Practice Telephone | 2282092437 |
Mailing Telephone | 2282092437 |
Enumeration Date | 2015-10-05 |
Last Update Date | 2015-10-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 2034 | MS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154867976 | Jolene Wilson | Dental Hygienist | 119 N Eagle St, Marshall, MI 49068-1501 | 2017-01-18 |
Street Address |
1607 24TH AVE STE A1 |
City | GULFPORT |
State | MS |
Zip Code | 39501-2970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
Find all providers in zip 39501 |
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 |
---|---|---|---|---|
1326564220 | Ashley Harris Whitfield | Counselor | 951 Cleveland Ave, Gulfport, MS 39507-3330 | 2017-08-22 |
1679011324 | Tiyahri Cheriece Wilson | Counselor | 1619 18th Ave, Gulfport, MS 39501-2131 | 2017-02-02 |
1386997096 | Melissa Lynne Roley | Counselor | 5121 27th Ave S, Gulfport, FL 33707-5413 | 2012-10-18 |
1548471188 | Elena Maria Fairley | Counselor | 11352 Mia Cir, Gulfport, MS 39503-3882 | 2007-05-25 |
1376622423 | Louanna Claveau | Counselor | 450 East Pass Road, Suite 3, Gulfport, MS 39507 | 2006-11-02 |
1902453632 | Amanda Duran | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-08-19 |
1821643990 | Shuida Haynes | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-08-06 |
1801352182 | Devante Sago | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-02-12 |
1366916462 | Felicia Faye Downs | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2019-01-11 |
1861968182 | Lakeshia Fisher | Counselor | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2018-10-15 |
Find all providers in GULFPORT |
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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.