MS. JOLENE L WILSON


Address: 1607 24th Ave Ste A1, Gulfport, MS 39501-2970
Phone: 2282092437

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 2034 MS Behavioral Health & Social Service Providers

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Office Location

Street Address 1607 24TH AVE STE A1
City GULFPORT
State MS
Zip Code 39501-2970

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City GULFPORT
Zip Code 39501

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Dataset Information

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.

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