MICHELLE WILSON (NPI# 1497160998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497160998 |
| Entity Type | Individual |
| Full Name | MICHELLE WILSON |
| Credential | M.ED. LADC |
| Practice Address |
1132 28th Ave S Suite 102 Moorhead MN 56560-4420 |
| Practice Telephone | 2184226119 |
| Practice Fax Number | 2182275377 |
| Mailing Telephone | 2184226119 |
| Mailing Fax Number | 2182275377 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303851 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426372 | Michelle Wilson | Dietitian, Registered | 4972 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2070 | 2020-04-25 |
| 1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
| 1639733371 | Michelle Marie Wilson | Occupational Therapist | 540 N State St Apt 2605, Chicago, IL 60654-7236 | 2019-04-29 |
| 1821576257 | Michelle Nicole Barker Wilson | Counselor | 2525 King Louis Dr, Jacksonville, FL 32254-6220 | 2018-07-28 |
| 1679000434 | Michelle Wilson | Physical Therapist | 711 River Rd, Yardley, PA 19067-1965 | 2017-05-11 |
| 1689048043 | Michelle A Wilson | Licensed Practical Nurse | 1289 Warwick St, Uniondale, NY 11553-1324 | 2015-11-23 |
| 1447528286 | Michelle J Wilson | Pharmacist | 1066 Laurel Creek Dr, Chesterton, IN 46304-9607 | 2011-12-07 |
| 1013200633 | Michelle Lynne Wilson | Pharmacist | 138 N 5th St, Steubenville, OH 43952-2128 | 2011-05-16 |
| 1548496557 | Michelle Wilson | Nurse Practitioner | 1901 S. Shady Street, Mountain City, TN 37683 | 2009-06-04 |
| 1598887606 | Michelle Morfin Wilson | Nurse Practitioner | 9500 Euclid Ave # M-14, Cleveland, OH 44195-0001 | 2007-04-06 |
| Street Address |
1132 28TH AVE S SUITE 102 |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023197522 | Carol Collette Follingstad | Psychologist | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2006-11-03 |
| 1942834429 | Nicole Annette Ogan | Counselor | 1132 28th Ave S, Moorhead, MN 56560-4420 | 2020-02-24 |
| 1376902106 | Wajir Transportation, LLC | Non-emergency Medical Transport (VAN) | 1132 28th Ave S, 104, Moorhead, MN 56560-4420 | 2016-02-22 |
| 1700250099 | Amber M Michalski | Counselor | 1132 28th Ave S, Moorhead, MN 56560-4420 | 2015-11-24 |
| 1083002455 | Christen Bergeron | Counselor | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2015-01-07 |
| 1598163503 | Greater Minnesota Community Services | Clinic/Center | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2014-12-08 |
| 1437582566 | Integrated Counseling Services | Community/Behavioral Health | 1132 28th Ave S, Suite 102, Moorhead, MN 56560-4420 | 2013-08-13 |
| 1689917924 | Karin M Lundquist | Counselor | 1132 28th Ave S, Moorhead, MN 56560-4420 | 2013-04-05 |
| 1104128156 | Behavioral Health Associates, Ltd. | Psychologist | 1132 28th Ave S, Suite 105a, Moorhead, MN 56560-4420 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194298885 | Shaina E Winning | Counselor | 200 5th St S Ste 202, Moorhead, MN 56560-2768 | 2019-01-06 |
| 1841672227 | Trinity Lutheran Church | Counselor | 111 7th St S, Moorhead, MN 56560-2738 | 2015-06-23 |
| 1215093695 | New Perspectives LLP | Counselor | 1111 30th Ave S, Moorhead, MN 56560-5105 | 2006-12-29 |
| 1033216940 | Billie Sue Ellingson | Counselor | 3106 Village Green Dr, Moorhead, MN 56560-5410 | 2006-09-20 |
| 1851903033 | Mindful Healing & Consulting Pllc | Counselor | 1602 Belsly Blvd, Moorhead, MN 56560-5285 | 2020-08-19 |
| 1154898351 | Bridgette Marie Eastman | Counselor | 2405 8th St S Ste 200, Moorhead, MN 56560-4224 | 2018-10-26 |
| 1760993216 | Katie Marie Diiro | Counselor | 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 | 2017-10-23 |
| 1821458209 | Anne Buchholz | Counselor | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2016-02-29 |
| 1881060374 | Kayla Lawrence | Counselor | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2015-08-19 |
| 1619359254 | Kristina Jacobs | Counselor | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2015-06-19 |
| Find all providers in MOORHEAD | ||||
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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.