JONATHAN WYATT WILSON (NPI# 1497224059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497224059 |
| Entity Type | Individual |
| Full Name | JONATHAN WYATT WILSON |
| Practice Address |
1904 Se Division St Portland OR 97202-1146 |
| Practice Telephone | 5035178663 |
| Mailing Telephone | 5035178663 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
| 1841602992 | Jonathan David Wilson | Family Medicine | 3149 Freedom Dr, Charlotte, NC 28208-3869 | 2014-05-23 |
| 1497176903 | Jonathan Phillip Wilson | Marriage & Family Therapist | 20380 Shoshonee Rd, Apple Valley, CA 92307-5604 | 2013-12-31 |
| 1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
| 1760791552 | Jonathan B Wilson | Physical Therapist | 802 East Main St, Mannington, WV 26582 | 2010-09-28 |
| 1881738532 | Jonathan William Wilson | Optometrist | 1890 Goodman Rd E Ste 100, Southaven, MS 38671-9504 | 2007-02-16 |
| 1710966510 | Jonathan P Wilson | Family Medicine | 1985 Startown Rd., Fairbrock Medical Clinic Pa, Hickory, NC 28602 | 2006-01-11 |
| 1942817820 | Jonathan Harry Wilson | Technician | #1 Fifth Street, Elkins, WV 26241 | 2020-09-25 |
| 1144836610 | Jonathan Michael Wilson | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2020-09-21 |
| 1265079883 | Jonathan Tyler Wilson | Occupational Therapist | 711 Frankfort Rd, Shelbyville, KY 40065-9447 | 2019-12-02 |
| Street Address |
1904 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356480115 | Jonathan Douglas Dahl | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2007-02-06 |
| 1063010809 | Ellie Cornett | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2020-10-14 |
| 1154928315 | Pamela Rosen | Social Worker | 1904 Se Division St, Portland, OR 97202-1146 | 2020-10-01 |
| 1962019307 | Varonica L Koon | Social Worker | 1904 Se Division St, Portland, OR 97202-1146 | 2020-09-29 |
| 1417561903 | Cynee Godshall | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2020-09-02 |
| 1568076198 | Amy D'light Zimmerman | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2020-09-01 |
| 1750922563 | Beatrice Rose Trussell | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2019-10-02 |
| 1164063954 | Kaitlin Elizabeth Park | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2019-10-02 |
| 1154962975 | Breanna Dees | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2019-10-02 |
| 1184275539 | Terri Taylor Hammond | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| 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 |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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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.