BRIAN WILSON (NPI# 1215483136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215483136 |
| Entity Type | Individual |
| Full Name | BRIAN WILSON |
| Practice Address |
5406 Gateway Ctr Suite A Flint MI 48507-3900 |
| Mailing Address |
1408 Grant Ct Lapeer MI 48446-1278 |
| Practice Telephone | 8103581529 |
| Mailing Telephone | 8103581529 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401012081 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122269 | Brian A Wilson | Registered Nurse | 12801 Brookhurst St Unit 1118, Garden Grove, CA 92840-4864 | 2019-12-31 |
| 1265076376 | Brian Wilson | Registered Nurse | 729 Goldenrod Dr, Gardendale, AL 35071-2844 | 2019-10-31 |
| 1427536580 | Brian Wilson | Social Worker | 5136 Woolverton Ave, Baltimore, MD 21215-5135 | 2018-08-01 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| 1124407978 | Brian Wilson | Home Health Aide | 7464 Arapahoe Rd Ste B3, Boulder, CO 80303-1500 | 2015-05-27 |
| 1184012775 | Brian Wilson | Occupational Therapist | 6919 Nebo Hills Rd, Liberty, MO 64068-8504 | 2015-01-05 |
| 1780931329 | Brian Lee Wilson | Massage Therapist | 1840 Ne 104th Loop, #7, Vancouver, WA 98686-5676 | 2012-08-14 |
| 1508148644 | Brian Scott Wilson | Pharmacist | 10680 Torrington Ln, Highlands Ranch, CO 80126-7549 | 2011-09-14 |
| 1588952204 | Brian A. Wilson | Marriage & Family Therapist | 507 W Foothill Blvd # B, Monrovia, CA 91016-2021 | 2011-07-14 |
| 1417187931 | Brian Wilson | Registered Nurse | 315 Hudson St Fl 9, New York, NY 10013-1036 | 2009-07-17 |
| Street Address |
5406 GATEWAY CTR SUITE A |
| City | FLINT |
| State | MI |
| Zip Code | 48507-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174886907 | Patricia Marie Ritz | Counselor | 5406 Gateway Ctr, Ste A, Flint, MI 48507-3900 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821457 | Jessica Hush | Counselor | 517 E 5th Ave, Flint, MI 48503-1541 | 2020-08-11 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1396300463 | Giving Hope LLC | Counselor | 4058 N Linden Rd Ste D, Flint, MI 48504-1381 | 2019-05-04 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1154772192 | Ramona Moye | Counselor | 2039 Burr Blvd, Flint, MI 48503-4209 | 2016-06-30 |
| 1629471198 | Tiffany Pritchett | Counselor | 2542 Orchard Ln, Flint, MI 48504-4537 | 2014-09-29 |
| 1013357896 | Gina L'or'eal Berry | Counselor | 420 W. Fifth Ave., Flint, MI 48503 | 2013-06-26 |
| 1174886907 | Patricia Marie Ritz | Counselor | 5406 Gateway Ctr, Ste A, Flint, MI 48507-3900 | 2012-06-18 |
| 1558628388 | Krystin Sankey | Counselor | 4520 Linden Creek Pkwy Ste B, Flint, MI 48507-2969 | 2012-04-18 |
| 1386929925 | New Sunrise Day Care LLC | Counselor | 3497 W Pasadena Ave, Flint, MI 48504-2331 | 2011-10-14 |
| Find all providers in FLINT | ||||
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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.