KELLY J WILT (NPI# 1679194898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679194898 |
| Entity Type | Individual |
| Full Name | KELLY J WILT |
| Credential | LAC |
| Practice Address |
469 S Convent Ave Tucson AZ 85701-2261 |
| Mailing Address |
620 N 3rd Ave Tucson AZ 85705-7856 |
| Practice Telephone | 5706606325 |
| Mailing Telephone | 5706606325 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LAC-18119 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093101792 | Kelly Wilt | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045 | 2015-04-09 |
| Street Address |
469 S CONVENT AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203089 | Marisa Riddle | Registered Nurse | 220 W 6th Street, Tucson, AZ 85701 | 2019-03-12 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1730425455 | Jan Courtney | Counselor | 85 W Franklin, Cope Community Services, Tucson, AZ 85701 | 2012-12-28 |
| 1750641569 | Christine A Widener | Social Worker | 240 N Court Ave, Tucson, AZ 85701 | 2012-05-25 |
| 1336337039 | Gerard Anthony Scarano | Psychologist | 10 E 10th St, Tucson, AZ 85701 | 2007-10-09 |
| 1922166107 | Coyote Task Force | Community/Behavioral Health | 66 E Pennington, Tucson, AZ 85701 | 2006-12-04 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1164510731 | G. Lynn Bonner | Counselor | 325 W. Franklin St., Ste 117, Tucson, AZ 85701 | 2006-10-10 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1356317077 | Linda Kapinos | Nurse Practitioner | 101 South Stone Avenue, Cope Community Services, Inc., Tucson, AZ 85701 | 2006-02-23 |
| Find all providers in zip 85701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1396363172 | Carly Moss | Counselor | 4625 E Broadway Blvd Ste 105, Tucson, AZ 85711-3575 | 2020-07-08 |
| 1891317665 | Chris Ledyard | Counselor | 1150 N Sonoita Ave, Tucson, AZ 85712-5169 | 2020-05-14 |
| 1437770013 | Elsa M Duarte | Counselor | 1900 W Speedway Blvd, Tucson, AZ 85745-2215 | 2020-05-05 |
| 1598385098 | David Thomas Bradley | Counselor | 5909 E 3rd St, Tucson, AZ 85711-1522 | 2020-04-24 |
| 1689203036 | Mary C Cahilly | Counselor | 2165 N Camino Agrios, Tucson, AZ 85715-5908 | 2020-04-07 |
| 1316575418 | Gayla Lemley | Counselor | 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 | 2020-04-01 |
| 1649806738 | Metamorphosis Counseling Services | Counselor | 310 S Williams Blvd Ste 235, Tucson, AZ 85711-7704 | 2020-03-20 |
| 1790315562 | A Elaine Hixson-weiss | Counselor | 2230 E Speedway Blvd Ste 120, Tucson, AZ 85719-4762 | 2020-01-21 |
| Find all providers in TUCSON | ||||
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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.