JENNA WILSON (NPI# 1407290331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407290331 |
| Entity Type | Individual |
| Full Name | JENNA WILSON |
| Practice Address |
1328 2nd St Santa Monica CA 90401-1122 |
| Practice Telephone | 3105761308 |
| Practice Fax Number | 3105761027 |
| Mailing Telephone | 3105761308 |
| Mailing Fax Number | 3105761027 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005553 | Jenna Wilson | Counselor | 16574 6275 Rd, Montrose, CO 81403-9131 | 2019-07-18 |
| 1033633607 | Jenna Wilson | Marriage & Family Therapist | 6555 Nova Dr Ste 300, Davie, FL 33317-7404 | 2017-07-26 |
| 1649685066 | Jenna Lynne Wilson | Midwife | 2958 State Street, Santa Barbara, CA 93105 | 2014-06-24 |
| 1386975431 | Jenna Wilson | Physician Assistant | 35 Storey Ave, Newburyport, MA 01950 | 2010-01-28 |
| 1144846155 | Jenna Wilson I | Student in an Organized Health Care Education/Training Program | 736 Cambridge St, Boston, MA 02135-2907 | 2020-06-25 |
| 1548827165 | Jenna Wilson | Speech-Language Pathologist | 5000 Research Ct Ste 450, Suwanee, GA 30024-6660 | 2019-05-20 |
| 1144712928 | Jenna Wilson | Orthopaedic Surgery | 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109-5328 | 2018-06-06 |
| 1598256869 | Jenna Lynn Wilson | Nurse Practitioner | 716 Lincoln Sq, Arlington, TX 76011 | 2018-05-22 |
| 1184134454 | Jenna M. Wilson | Physician Assistant | 501 Cetronia Rd, Allentown, PA 18104-9569 | 2017-10-02 |
| 1942757455 | Jenna Ann Wilson | Case Manager/Care Coordinator | 125 Crestridge St, Fort Collins, CO 80525-3934 | 2016-09-01 |
| Street Address |
1328 2ND ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061266 | Heide Hamelberg | Psychologist | 1328 2nd St, Santa Monica, CA 90401-1122 | 2006-09-12 |
| 1275140238 | Saidy Amador | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-24 |
| 1194331983 | Claudia Lorena Orellana | Community Health Worker | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-17 |
| 1083220867 | Daniel Rodriguez | Community Health Worker | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-17 |
| 1114539392 | Melissa Meza | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-08-19 |
| 1760091896 | Crystal Corral Herrera | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-24 |
| 1215545132 | Sydney Fine | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-16 |
| 1437770344 | Claire Gordon | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-05-01 |
| 1528606076 | Susan Anne Herbert | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2019-12-16 |
| 1992343453 | Marlene Garcia | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| 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 |
|---|---|---|---|---|
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1861031726 | Christian Joshua Talam | Counselor | 1865 9th Strret, Santa Monica, CA 90404-1324 | 2019-12-24 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1669792065 | Byron Williams | Counselor | 1865 9th Street, Santa Monica, CA 90404-4501 | 2010-06-08 |
| 1013242692 | Stephen S Reeder | Counselor | 2121 Cloverfield Blvd Ste 131, Santa Monica, CA 90404-5277 | 2009-10-15 |
| 1689830358 | Nadia Judith Bijaoui | Counselor | 100 Wilshire Blvd, Suite 940, Santa Monica, CA 90401-1110 | 2008-08-01 |
| 1982205985 | Gabrielle Anne Mayer | Counselor | 1865 9th St, Santa Monica, CA 90405 | 2020-11-05 |
| 1588270318 | Samantha Michole Tart | Counselor | 1869 9th Street, Santa Monica, CA 90405 | 2020-09-17 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on JENNA WILSON.
| 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.