DENISE C. WILSON (NPI# 1639111834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639111834 |
| Entity Type | Individual |
| Full Name | DENISE C. WILSON |
| Credential | ED.S. |
| Practice Address |
126 E Alcott Ave Fergus Falls MN 56537-2903 |
| Mailing Address |
609 Lakeside Drive Fergus Falls MN 56537 |
| Practice Telephone | 2187366987 |
| Practice Fax Number | 2187366980 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP0790 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERREDONE | 1010725 | 01 |
| MN | UNITED BEHAVIORAL HEALTH | 62-20515 | 01 |
| MN | UCARE MINNESOTA | 116408 | 01 |
| MN | BLUE SHIELD OF MINNESOTA | 8L660WI | 01 |
| MN | HEALTHPARTNERS | HP23065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073006987 | Denise Wilson | Licensed Practical Nurse | 47 Partridge Hill Rd, Hyde Park, NY 12538-3159 | 2018-06-14 |
| 1922453455 | Denise Wilson | Social Worker | 8625 King George Dr. Suite 111, Dallas, TX 75235 | 2016-05-03 |
| 1720248545 | Denise M Wilson | Chiropractor | 11 Gordon Ave, Lawrenceville, NJ 08648-1087 | 2008-06-16 |
| 1821271073 | Denise M Wilson | Counselor | 13726 South Old State Road, Ellendale, DE 19941 | 2007-12-11 |
| 1689868812 | Denise Renee Wilson | Counselor | Samaritan Counseling Center, 1201 North Main Street Ext., Butler, PA 16001-1537 | 2007-08-30 |
| 1255370524 | Denise V Wilson | Registered Nurse | 957 National Hwy Ste 3, Lavale, MD 21502-7356 | 2006-06-05 |
| 1932731734 | Denise Kay Wilson | Counselor | 3648 El Portal Dr, Redding, CA 96002-3133 | 2020-02-10 |
| 1134634470 | Denise Lyvette Wilson | Social Worker | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2017-12-08 |
| 1265947717 | Denise Claudia Wilson | Counselor | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2017-12-06 |
| 1093266058 | Denise Wilson | Counselor | 888 S Hillhurst Rd, Ridgefield, WA 98642-9063 | 2016-10-14 |
| Street Address |
126 E ALCOTT AVE |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659328623 | Judy Lundberg Dinsmore | Social Worker | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-05-27 |
| 1093952137 | Kathleen M Simpson | Clinical Nurse Specialist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2009-01-12 |
| 1497812499 | Marsha K. Krenzel-stetson | Counselor | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2007-01-02 |
| 1598797185 | Mary K. Schmidt | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-07-06 |
| 1801832068 | Luanne J. Hanson | Counselor | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-22 |
| 1104869049 | Ricardo P. Ascano | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-14 |
| 1720021751 | Gerald E. Ziesemer | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-14 |
| 1275574923 | Diana I. Hall | Social Worker | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-10 |
| 1750321782 | Kathleen R. Schara | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-07 |
| 1023057718 | Barbara K. Young | Counselor | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407035793 | Tanya Dahms Sundberg | Psychologist | 123 E Lincoln Ave, Fergus Falls, MN 56537-2216 | 2007-11-02 |
| 1275656431 | Gwen Brutlag | Psychologist | 220 W Washington Ave, Wells Fargo Bank Building, Suite 204, Fergus Falls, MN 56537-2569 | 2007-04-10 |
| 1154461952 | Frank Dale Campbell | Psychologist | 125 W Lincoln, Suite 12, Fergus Falls, MN 56537 | 2007-02-08 |
| 1700972320 | Angela Ann Kennedy | Psychologist | 21081 County Highway 1, Fergus Falls, MN 56537-7603 | 2006-10-04 |
| 1952407751 | Dion Xavier Darveaux | Psychologist | 121 N Mill St, Fergus Falls, MN 56537-2134 | 2006-09-16 |
| 1235457680 | Nicole Nelson Welle | Psychologist | 712 S Cascade St, F282/2a West, Fergus Falls, MN 56537-2913 | 2010-05-10 |
| 1669411526 | Holley J. Simonson | Psychologist | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2006-06-06 |
| 1629025762 | Eldon L. Linscheid | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-05-27 |
| 1649227539 | Elizabeth S Monke | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
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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.