JORDAN ELIZABETH WILDMAN (NPI# 1396095006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396095006 |
Entity Type | Individual |
Full Name | JORDAN ELIZABETH WILDMAN |
Credential | M.S. |
Practice Address |
2112 Forest Ave Durango CO 81301-4843 |
Mailing Address |
2243 Main Ave Unit 18 Durango CO 81301-4655 |
Practice Telephone | 9709038509 |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
2112 FOREST AVE |
City | DURANGO |
State | CO |
Zip Code | 81301-4843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
Find all providers in zip 81301 |
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 |
---|---|---|---|---|
1609200583 | Craig Holliday | Counselor | 230 E College Dr, Durango, CO 81301-5205 | 2013-08-27 |
1801183041 | Marta D Martinez-evans | Counselor | 1474 Main Ave Ste 205, Durango, CO 81301-5182 | 2011-07-08 |
1851628713 | Stacy Ann Reuille Dupont | Counselor | 1305 Escalante Dr # 203, Durango, CO 81303-8931 | 2009-11-12 |
1629223292 | Pathfinder Clinic | Counselor | 3473 Main Ave Ste 23, Durango, CO 81301-4040 | 2008-11-24 |
1891969598 | Western Employee Assistance Services | Counselor | 1010 Three Springs Blvd Ste 248, Durango, CO 81301-8296 | 2008-04-15 |
1588790414 | Patricia Gail Rickey | Counselor | 215 Riverview Dr, Durango, CO 81301-4351 | 2007-02-26 |
1528696408 | Melaney Sreenan | Counselor | 48 County Road 250 Unit 7, Durango, CO 81301-8848 | 2020-03-27 |
1033417795 | Janet Curry | Counselor | 2243 Main Ave, Suite 4b, Durango, CO 81301-4699 | 2011-03-04 |
1487959557 | Arianna Smith | Counselor | 281 Sawyer Dr Ste 100, Durango, CO 81303-3409 | 2011-01-20 |
1841594876 | Annabel Mary Scott | Counselor | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2011-01-05 |
Find all providers in DURANGO |
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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.