MS. CODIE JO WILSON


Address: 475 Lewis St, #218, Pagosa Springs, CO 81147
Phone: 9709037192

MS. CODIE JO WILSON (NPI# 1588761720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588761720
Entity Type Individual
Full Name MS. CODIE JO WILSON
Credential LPC
Practice Address 475 Lewis St
#218
Pagosa Springs
CO 81147
Mailing Address Po Box 3915
Pagosa Springs
CO 81147
Practice Telephone 9709037192
Practice Fax Number 9707310357
Mailing Telephone 9709037192
Mailing Fax Number 9707310357
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 874LPC CO Behavioral Health & Social Service Providers

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Office Location

Street Address 475 LEWIS ST
#218
City PAGOSA SPRINGS
State CO
Zip Code 81147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134519317 Jeremiah Scott Social Worker 475 Lewis St, Pagosa Springs, CO 81147 2015-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184243479 Lauren Crawford Massage Therapist 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 2020-04-16
1962021279 Jennifer Marie Owens Massage Therapist 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 2020-04-16
1235760521 A Safe Place In Pagosa, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 459 Lewis Street, Pagosa Springs, CO 81147 2020-01-27
1114407657 Clarity Coaching and Counseling, LLC Clinic/Center 115 Ute Drive, Ignacio, CO 81147 2018-08-15
1659880169 Dds Catalyst Pagosa, LLC Clinic/Center 308 N. Pagosa Street, Pagosa Springs, CO 81147 2017-09-27
1205358918 John D. Kutzko Pharmacist Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 2017-07-13
1245774587 Specialized Imaging Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 117 Navajo, Unit 3, Pagosa Springs, CO 81147 2016-12-06
1003295478 Four Corners Family Dental-co, LLC Dentist 308 N Pagosa St, Pagosa Springs, CO 81147 2015-05-19
1710385075 Merenda Renae Romine Massage Therapist 26 Durango Ct., Pagosa Springs, CO 81147 2014-12-18
1447657044 Ashley Wagle Counselor 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 2014-11-25
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619186889 Deborah Parker Psychologist 475 Lewis St., Suite 206, Pagosa Springs, CO 81147 2007-05-22
1760597421 Kevin James Kelly Psychologist 2800 Cornerstone Drive, Suite 110, Pagosa Springs, CO 81147 2006-08-20
1134195431 August Vanderbeek Psychologist 75 South Pagosa Blvd, Pagosa Springs, CO 81147 2006-02-27
1841473964 R D Parker Associates Inc Psychologist 475 Lewis Street, Suite 206, Pagosa Springs, CO 81147 2007-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326647389 A Peaceful Mind LLC Psychologist 420 S Howes St Ste B-100, Fort Collins, CO 80521-2871 2020-10-21
1386242907 Sarah Mcconnell Psychologist 7488 S Lafayette Cir E, Centennial, CO 80122-1414 2020-10-15
1437766466 Lindsay Shaw Psychologist 9451 Palladium Hts # C416, Colorado Springs, CO 80920-1615 2020-09-24
1609489608 Bradley T Conner Psychologist 3203 Green Lake Drive, Fort Collins, CO 80524-1261 2020-08-28
1942810361 Jessica Luginbuhl Psychologist 1805 S Bellaire St Ste 502, Denver, CO 80222-4325 2020-08-01
1396353231 Daniel Raedel Psychologist 2010 Willard Loop Dr, N352, Boulder, CO 80305-2448 2020-07-16
1902421415 Brian Daniel Gustman Psychologist 6333 Copper Dr, Frederick, CO 80516-9351 2020-06-10
1619502838 Ute Pass Psychological Consultation Psychologist 900 Tamarac Pkwy Unit 7122, Woodland Park, CO 80863-7776 2020-03-09
1558994376 Hopebridge LLC Psychologist 1 Inverness Dr E Ste 101, Englewood, CO 80112-5519 2020-02-20
1669005922 Kate Klein Mcgoldrick Psychologist 495 Uinta Way Ste 220, Denver, CO 80230-7198 2020-02-14
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Competitor

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City PAGOSA SPRINGS
Zip Code 81147

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Dataset Information

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.

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