MRS. AMANDA MICHELE WILCOX (NPI# 1447554050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447554050 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MICHELE WILCOX |
| Credential | QMHA |
| Practice Address |
290 Moyer Ln Nw Salem OR 97304-3822 |
| Practice Telephone | 5033708990 |
| Practice Fax Number | 5033634214 |
| Mailing Telephone | 5033708990 |
| Mailing Fax Number | 5033634214 |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |
| 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 |
|---|---|---|---|---|
| 1376099507 | Amanda Wilcox | Occupational Therapy Assistant | 6615 W El Cortez Pl, Phoenix, AZ 85083-1835 | 2016-08-28 |
| 1669763868 | Amanda Wilcox | Family Medicine | 1805 Station Dr, Prattville, AL 36066-5667 | 2011-04-22 |
| 1710584727 | Amanda Starr-marrie Wilcox | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1578076493 | Amanda Wilcox | Counselor | 1 Greystone Rd, Carlisle, PA 17013-2660 | 2017-11-14 |
| 1538552013 | Amanda Jo Wilcox | Counselor | 1231 N 29th St, Billings, MT 59101-0122 | 2015-03-09 |
| Street Address |
290 MOYER LN NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959493 | Carolyn Occhipinti | Psychologist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2005-08-17 |
| 1316200546 | Erin F Vanortwick | Student in an Organized Health Care Education/Training Program | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2012-06-22 |
| 1508140872 | Aileen Cutz | Case Manager/Care Coordinator | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2011-10-05 |
| 1003100041 | Lena Yesowitch | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2011-06-07 |
| 1568766616 | Linda Jean Weisensee | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2011-01-04 |
| 1619288669 | Madeline Louise Stafford | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-06-24 |
| 1215248398 | Amy Leigh Hafer | Social Worker | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-06-23 |
| 1134445463 | Amy Haslett | Occupational Therapist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-04-12 |
| 1720315120 | Easter Seals Oregon Children's Therapy Center | Community/Behavioral Health | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2009-11-06 |
| 1902131402 | Haley Owens | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1043824956 | Olivia Mandracchia | Counselor | 43 Bridge St Unit 2, Salem, MA 01970-4124 | 2020-09-08 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1821629569 | Kristin Cordy | Counselor | 1 Orchard Ter, Salem, MA 01970-2406 | 2020-01-31 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1124507330 | Bright Leaf Counseling and Wellness Center, LLC | Counselor | 25 E Main St Ste C, Salem, VA 24153-3806 | 2018-08-08 |
| 1063905966 | Katilyn Dalton-wise | Counselor | 18 Ward St # 1, Salem, MA 01970-5025 | 2018-06-14 |
| 1487144986 | Effective Foundations Counseling and Consultation Services | Counselor | 280 Court St Ne Ste 205, Salem, OR 97301-3443 | 2018-05-10 |
| 1699282913 | Williams English | Counselor | 35 Congress St Ste 2, Salem, MA 01970-5567 | 2018-01-08 |
| 1235678053 | Douglas Mariano | Counselor | 198 Lafayette St. Apt 2, Salem, MA 01970-4735 | 2017-02-13 |
| 1609328269 | Margaret Lilley | Counselor | 40 Mason St, Unit 4, Salem, MA 01970 | 2016-10-31 |
| Find all providers in SALEM | ||||
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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.