REBECCA WILSON (NPI# 1255768859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255768859 |
| Entity Type | Individual |
| Full Name | REBECCA WILSON |
| Credential | MS, LPC |
| Practice Address |
7649 Woodcrest St Portage MI 49024-5059 |
| Practice Telephone | 2693858516 |
| Practice Fax Number | 2693856004 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401007862 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726037 | Rebecca Breanne Wilson | Specialist/Technologist | 1111 S Grenoble, Mesa, AZ 85208-7520 | 2020-10-04 |
| 1538620950 | Rebecca Wilson | Internal Medicine | Lutheran General Hospital--nesset Clinic, 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2019-03-28 |
| 1417425992 | Rebecca Lynn Wilson | Nurse Practitioner | 7653 Indian Springs Rd, Dallas, TX 75248-5606 | 2018-11-02 |
| 1578056719 | Rebecca Wilson | Dentist | 720 Osterman Ave Ste 305, Deerfield, IL 60015-4339 | 2018-06-12 |
| 1871042085 | Rebecca Lynn Wilson | Specialist/Technologist | 2004 Windemere Dr, Greencastle, IN 46135-9225 | 2016-09-28 |
| 1578946794 | Rebecca Wilson | Psychologist | 3150 18th St Ste 534, San Francisco, CA 94110 | 2015-07-07 |
| 1669740510 | Rebecca Wilson | Social Worker | 129 Hitching Post Dr, Southington, CT 06489-2862 | 2011-12-07 |
| 1679875025 | Rebecca A Wilson | Social Worker | 955 Cherry St, Blanchester, OH 45107-7907 | 2010-11-17 |
| 1063728061 | Rebecca E Wilson | Developmental Therapist | 4812 Oak Park Dr, Louisville, KY 40258-1320 | 2010-08-27 |
| 1942533229 | Rebecca Fay Wilson | Registered Nurse | 855 Spring St Apt S8, Conneaut, OH 44030-2292 | 2009-09-17 |
| Street Address |
7649 WOODCREST ST |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387691 | Chad Robert Westmaas | Counselor | 6100 Newport Rd Ste 2222, Portage, MI 49002-9235 | 2018-05-29 |
| 1154871390 | Dawn Anderson-mueller | Counselor | 322 Dewit St, Portage, WI 53901-2114 | 2016-10-12 |
| 1245534478 | Tonya Lynn Swinger | Counselor | 742 Popish Road, Portage, PA 15946-7900 | 2011-01-03 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| 1023343738 | Pamela Regina Robinson | Counselor | 1151 W Milham Ave, Portage, MI 49024-1203 | 2009-10-14 |
| 1538298401 | Catholic Charities, Diocese of Gary Inc | Counselor | 2642 Eleanor St, Portage, IN 46368-3634 | 2007-03-05 |
| 1942396205 | Lindsay Page South | Counselor | 1591 W Centre St, Suite 103, Portage, MI 49024 | 2006-10-05 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1891307880 | Sydney M Martin | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-20 |
| 1437761624 | Marta Kirsten Rynearson | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-19 |
| Find all providers in PORTAGE | ||||
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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.