MS. TRACY LYNN WILSON (NPI# 1710082243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710082243 |
| Entity Type | Individual |
| Full Name | MS. TRACY LYNN WILSON |
| Credential | LLP, LPC, NCC |
| Practice Address |
181 W Michigan Ave Suite 3 Paw Paw MI 49079-1432 |
| Mailing Address |
181 W Michigan Ave Paw Paw MI 49079-1432 |
| Practice Telephone | 2696576025 |
| Practice Fax Number | 2696575198 |
| Mailing Telephone | 2696576025 |
| Mailing Fax Number | 2696575198 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
6401006865 | MI | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 6301010633 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1033256938 | Tracy C Wilson | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2007-01-31 |
| 1790840296 | Tracy Wilson | Occupational Therapist | 2422 Saint George Way, Brookeville, MD 20833-3265 | 2006-12-26 |
| 1548343205 | Tracy Allison Wilson | Specialist | 1000 Bible Way Ste 73, Reno, NV 89502-2134 | 2006-10-23 |
| 1588278329 | Tracy Wilson | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-31 |
| 1932686391 | Tracy Wilson | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-07-27 |
| 1568995587 | Tracy Wilson | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-04-06 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1265853055 | Tracy Wilson | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2013-12-20 |
| Street Address |
181 W MICHIGAN AVE SUITE 3 |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905959 | Laurie Cone French | Social Worker | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2005-10-13 |
| 1811353717 | Scott Banghart | Counselor | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2016-01-07 |
| 1841672813 | Julie Mckinstry Waldron | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2015-06-25 |
| 1346526779 | Aaron Bronsink | Counselor | 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079-1432 | 2011-10-31 |
| 1619022027 | Mapleview Consultation Center PC | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2007-01-24 |
| 1437229036 | Associated Therapy Consultants PC | Social Worker | 181 W Michigan Ave, Suite #2, Paw Paw, MI 49079-1432 | 2006-11-09 |
| 1386634509 | Corbin S. Irelan | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2005-10-27 |
| 1588654396 | Joyce Evalynne Tamer | Counselor | 181 W Michigan Ave, Suite #3, Paw Paw, MI 49079-1432 | 2005-10-24 |
| 1821087784 | Roderick Lynn Johnson | Psychologist | 181 W Michigan Ave, Suite #3, Paw Paw, MI 49079-1432 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1447799663 | Lori Wolgast | Counselor | 223 Flagg St, Paw Paw, IL 61353-8909 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.