TINA M WAHL (NPI# 1487137907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487137907 |
| Entity Type | Individual |
| Full Name | TINA M WAHL |
| Practice Address |
480 Eversman Dr Jasper IN 47546-3548 |
| Practice Telephone | 8124823020 |
| Practice Fax Number | 8124826409 |
| Mailing Telephone | 8124823020 |
| Mailing Fax Number | 8124826409 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
480 EVERSMAN DR |
| City | JASPER |
| State | IN |
| Zip Code | 47546-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118276 | Southern Hills Counseling Center, Inc. | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2005-10-20 |
| 1851998413 | Elijah Sowry | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2020-10-07 |
| 1215553821 | Kaitlyn Grace Roth | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2020-06-19 |
| 1225678204 | Cassandra Leanne Morton | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2020-01-08 |
| 1487128716 | Kimberly Lynn Coles | Case Manager/Care Coordinator | 480 Eversman Dr, Jasper, IN 47546-3548 | 2019-01-21 |
| 1487121687 | Lifespring, Inc | Clinic/Center | 480 Eversman Dr, Jasper, IN 47546-3548 | 2018-10-26 |
| 1811430010 | Jennifer Bowlds | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-11-21 |
| 1952844151 | Joseph Rapp'e | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-11-21 |
| 1366985558 | Rachel Nelson | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-11-21 |
| 1659821692 | Natalie Renae Kramer | Social Worker | 480 Eversman Dr, Jasper, IN 47546-3548 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648270 | Melissa Russell | Counselor | 205 Oakhill Rd Ste A, Jasper, AL 35504-7416 | 2019-03-14 |
| 1104392414 | Jason King | Counselor | 257 Brucke Strasse, Jasper, IN 47546-3400 | 2018-10-15 |
| 1689123242 | Jennifer Terry | Counselor | 85 N Walston Bridge Rd, Jasper, AL 35504-8640 | 2016-09-23 |
| 1558787853 | Christine Vaal | Counselor | 671 3rd Ave Ste G, Jasper, IN 47546-3653 | 2014-03-11 |
| 1134370406 | Benjamin Daniel Lane George | Counselor | 37446 Jasper Lowell Rd, Jasper, OR 97438-9719 | 2008-10-06 |
| 1225151707 | Hyla M Dobaj | Counselor | 37875 Jasper Lowell Rd., Jasper, OR 97438 | 2007-04-09 |
| 1912063033 | Ronald D. Bray | Counselor | 912 Airport Rd S, Jasper, AL 35501-4750 | 2007-01-01 |
| 1013518117 | Taylor Lyn Sorensen | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2020-11-04 |
| 1871107425 | Cody L Lee | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2020-09-01 |
| 1639782535 | Madison H Correia | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2020-08-28 |
| Find all providers in JASPER | ||||
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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.