MS. SHANNON MARIE WILSON


Address: 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073
Phone: 3194301211

MS. SHANNON MARIE WILSON (NPI# 1629417746) 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) 1629417746
Entity Type Individual
Full Name MS. SHANNON MARIE WILSON
Credential LMHC, CRC, CADC
Practice Address 1570 42nd St Ne Ste 2a
Cedar Rapids
IA 52402-3073
Practice Telephone 3194301211
Enumeration Date 2013-06-21
Last Update Date 2013-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001593 IA Behavioral Health & Social Service Providers

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1730714320 Shannon Elise Wilson Behavior Technician 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 2020-03-04
1396225843 Shannon A Wilson Behavior Technician 2733 Quarry Heights Way, Baltimore, MD 21209-1080 2018-08-15
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Office Location

Street Address 1570 42ND ST NE STE 2A
City CEDAR RAPIDS
State IA
Zip Code 52402-3073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710310644 Murray Wilson & Rose Counseling and Behavioral Services Counselor 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073 2013-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790520 Sara Ann Rausch Counselor 1533 1 Ave Se, Cedar Rapids, IA 52402 2020-05-01
1558995589 Jennifer Christine Hohneke Nurse Practitioner St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 2020-02-28
1073008314 Benjamin Randall Groth Optometrist 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 2018-06-28
1992228621 Synona Culbertson Counselor 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 2017-07-25
1083136410 Compassion North America Home Health Services Corp Hospice Care, Community Based 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 2017-07-07
1861819732 Arj Infusion Services, Inc. Home Infusion 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 2014-03-27
1639475197 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 2011-02-01
1437452919 Empowering Families Inc Early Intervention Provider Agency 5005 Blairsforest Way, Cedar Rapids, IA 52402 2010-12-06
1184937476 Jennifer Becker Counselor 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 2010-07-15
1215179817 William H Fletcher Hearing Instrument Specialist 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 2009-03-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013523943 Bryan Busch Counselor 1030 5th Ave Se # Ate3000, Cedar Rapids, IA 52403-2464 2020-09-16
1477179133 James L Neubauer Counselor 3745 Center Point Rd Ne, Cedar Rapids, IA 52402-2926 2020-06-18
1366065062 Thea Bedell, Lmhc, LLC Counselor 3412 Center Point Rd Ne, Cedar Rapids, IA 52402-5529 2020-05-28
1629609037 Alyssa Anne Mcdowell Counselor 1073 Rockford Rd Sw Ste E, Cedar Rapids, IA 52404-1868 2020-02-04
1316589682 Gail Wood Counselor 1660 42nd St Ne Ste O, Cedar Rapids, IA 52402-3066 2019-10-08
1154962991 Tracy Adam Counselor 1221 Park Pl Ne Ste F, Cedar Rapids, IA 52402-2019 2019-10-02
1144883539 Barbara Lynn Murphy Counselor 3635 Bever Ave Se, Cedar Rapids, IA 52403-4330 2019-04-21
1700358520 Syndrea Porter Counselor 1146 Blairs Ferry Rd Ne Ste 2, Cedar Rapids, IA 52402-1274 2018-12-18
1144791153 Shannon Elise Perea Counselor 215 4th Ave Se, Cedar Rapids, IA 52401-1844 2018-12-17
1902375801 A New Leaf Mental Health & Wellness Center, Inc Counselor 5925 Council St Ne Ste 117, Cedar Rapids, IA 52402-5860 2018-11-20
Find all providers in CEDAR RAPIDS

Competitor

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City CEDAR RAPIDS
Zip Code 52402

Improve Information

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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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