MS. CAROL JEAN WILSON (NPI# 1447378161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447378161 |
| Entity Type | Individual |
| Full Name | MS. CAROL JEAN WILSON |
| Credential | LCPC |
| Practice Address |
725 Sw Higgins Ave Suite C Missoula MT 59803-1415 |
| Mailing Address |
612 Parkview Way Missoula MT 59803-2231 |
| Practice Telephone | 4065430789 |
| Mailing Telephone | 4065493164 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
700 | MT | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
493 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0036192 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487275137 | Carol Lynn Wilson | Registered Nurse | 1602 Mamye Jane Dr, Killeen, TX 76542-6154 | 2020-05-05 |
| 1861851529 | Carol Wilson | Nurse Practitioner | 2530 Sw Salzedo Ave, Port Saint Lucie, FL 34987-2244 | 2016-02-22 |
| 1558738641 | Carol Ellen Wilson | Counselor | 713 Thrasher Ave Ne, North Bend, WA 98045-7919 | 2015-08-25 |
| 1922314897 | Carol R. Wilson | Social Worker | 19 Moses Brown St Apt 1l, Providence, RI 02906-4438 | 2010-08-29 |
| 1073830295 | Carol Dew Wilson | Social Worker | 1758 Potomac Dr, Fayetteville, NC 28304-3725 | 2010-04-28 |
| 1699862078 | Carol Wilson | Licensed Practical Nurse | 8796 N Paulettes Pl, Biloxi, MS 39532-7410 | 2006-10-06 |
| 1104892967 | Carol K Wilson | Advanced Practice Midwife | 920 South Oak Street, Iowa Falls, IA 50126-9506 | 2006-02-23 |
| 1306336235 | Carol J Wilson | Physical Therapist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-05-16 |
| 1891296018 | Carol Wilson | Nutritionist | 1805 S Bellaire St Ste 101, Denver, CO 80222-4309 | 2018-02-22 |
| 1518396738 | Carol Deann Wilson | Social Worker | 998 Crooked Hill Rd Bldg 82, West Brentwood, NY 11717-1019 | 2013-11-07 |
| Street Address |
725 SW HIGGINS AVE SUITE C |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1053487660 | D Briar Diggs | Dentist | 521 Sw Higgins Ave, Missoula, MT 59803 | 2006-11-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922667062 | Patrick Ryan | Counselor | 1335 Wyoming St, Missoula, MT 59801-1725 | 2019-06-12 |
| 1497237648 | Leigh Ann Christian Lcsw, Lac Pllc | Counselor | 127 N Higgins Ave Ste 307d, Missoula, MT 59802-4486 | 2018-09-04 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1831686088 | Darren Baird Ashby | Counselor | 202 Brooks St, Missoula, MT 59801-4019 | 2018-04-13 |
| 1508380569 | Lowell Owen Wavrick | Counselor | 4998 Sonoma St, Missoula, MT 59808-8694 | 2017-08-01 |
| 1649720319 | Andrea J Foran | Counselor | 700 South Ave W Ste B, Missoula, MT 59801-8011 | 2016-10-06 |
| 1922557123 | Candace Mirea | Counselor | 2809 Connery Way Ste B, Missoula, MT 59808-1955 | 2016-09-28 |
| 1316312150 | Greta Jernberg | Counselor | 800 Kensington Ave Ste Ll2, Missoula, MT 59801-5670 | 2015-12-04 |
| 1851766745 | Kali Neumeister | Counselor | 136 E Broadway St Ste 16, Missoula, MT 59802-4505 | 2015-12-03 |
| 1124418298 | Ronald Emmanuel Barker | Counselor | 1119 W Kent Ave Ste C, Missoula, MT 59801-6633 | 2015-01-28 |
| Find all providers in MISSOULA | ||||
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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.