MARTHA JANE WILSON (NPI# 1720374614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720374614 |
| Entity Type | Individual |
| Full Name | MARTHA JANE WILSON |
| Credential | LBP |
| Practice Address |
300 N Dalton Ave Valliant OK 74764-0673 |
| Mailing Address |
Po Box 673 Valliant OK 74764-0673 |
| Practice Telephone | 5809337031 |
| Practice Fax Number | 5809337034 |
| Mailing Telephone | 5809337031 |
| Mailing Fax Number | 5809337034 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0277 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740576081 | Martha Loflin Wilson | Social Worker | 904 Government St., Denham Springs, LA 70726 | 2011-06-24 |
| 1063744217 | Martha Jane Wilson | Counselor | 15 Dartford Ct, Chapel Hill, NC 27517-8667 | 2010-02-12 |
| 1437219789 | Martha Wilson | Counselor | 124 S 24th St Ste 100, Omaha, NE 68102-1226 | 2006-12-09 |
| 1285700237 | Martha C Wilson | Ophthalmology | 14615 San Pedro Ave Ste 120, San Antonio, TX 78232-4364 | 2006-11-28 |
| 1144726670 | Martha Jo Wilson | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2018-04-03 |
| 1821518887 | Martha Raye Wilson | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2017-06-21 |
| 1285046466 | Martha Wilson | Counselor | 1604 N Washington Ave, Durant, OK 74701-2128 | 2014-05-22 |
| 1417268574 | Martha Clinton Wilson | Family Medicine | 207 1st St S, Nampa, ID 83651-3703 | 2010-06-23 |
| 1144455486 | Martha Tae-anyene Wilson | Family Medicine | 2901 Montopolis Dr, Austin, TX 78741-6411 | 2009-05-15 |
| 1225225469 | Martha Wilder Wilson | Audiologist | 1199 Haley Center, Auburn University, AL 36849-5232 | 2007-10-02 |
| Street Address |
300 N DALTON AVE |
| City | VALLIANT |
| State | OK |
| Zip Code | 74764-0673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841456563 | Amy Causey | Counselor | 300 N Dalton Ave, Valliant, OK 74764 | 2008-08-01 |
| 1457678849 | Tara Price | Counselor | 300 N Dalton Ave, Valliant, OK 74764 | 2010-04-26 |
| 1790937076 | Martha Hensley | Counselor | 300 N Dalton Ave, Valliant, OK 74764 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003156571 | Paula Beard | Counselor | 701 Nation Rd, Valliant, OK 74764 | 2013-02-21 |
| 1437446127 | Essent Prmc, Lp | Clinic/Center | 514 East Wilson, Valliant, OK 74764 | 2011-07-01 |
| 1093979825 | Sabrina Johnson | Case Manager/Care Coordinator | 300 N Dalton Avenue, Valliant, OK 74764 | 2008-07-10 |
| 1437345105 | Shanna Renell Willoughby | Counselor | 300 N Dalton St, Valliant, OK 74764 | 2007-09-17 |
| 1477768125 | Frank Dewayne Coolbroth II | Counselor | 300 North Dalton, Valliant, OK 74764 | 2007-05-14 |
| 1447464623 | Dionnw Frankum | Counselor | 300 N. Dalton, Valliant, OK 74764 | 2007-05-09 |
| 1104030402 | Valliant House, LLC | Substance Abuse Rehabilitation Facility | 300 N. Dalton Ave, Valliant, OK 74764 | 2007-05-09 |
| 1376757484 | Jason Baker | Counselor | 300 N. Dalton Avenue, Valliant, OK 74764 | 2007-05-09 |
| 1720118276 | Altis Beatrice Rutherford | Counselor | 300 N Dalton, Valliant, OK 74764 | 2007-03-06 |
| 1750470969 | Bolton Drug & Jewelry | Pharmacy | #3 N Dalton, Valliant, OK 74764 | 2006-10-12 |
| Find all providers in zip 74764 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447464623 | Dionnw Frankum | Counselor | 300 N. Dalton, Valliant, OK 74764 | 2007-05-09 |
| 1376757484 | Jason Baker | Counselor | 300 N. Dalton Avenue, Valliant, OK 74764 | 2007-05-09 |
| 1720118276 | Altis Beatrice Rutherford | Counselor | 300 N Dalton, Valliant, OK 74764 | 2007-03-06 |
| 1053658575 | Dana Francis Nobles | Counselor | 300 North Dalton, Valliant, OK 74764 | 2013-01-04 |
| 1780929703 | Stephanie Heffner | Counselor | 300 N Dalton St, Valliant, OK 74764-8029 | 2012-12-03 |
| 1750595864 | Kelis Whisenhunt | Counselor | 300 N. Dalton Ave, Valliant, OK 74764 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1881200558 | Nichole Rae Krausch | Counselor | 1507 S Mckenna St, Poteau, OK 74953-5207 | 2020-09-18 |
| 1467068098 | Mckenzie Mcguffee | Counselor | 717 Briarcrest Dr, Midwest City, OK 73110-1619 | 2020-09-18 |
| 1629683727 | Mason Counseling Services | Counselor | 12718 E 77th Pl N, Owasso, OK 74055-7938 | 2020-09-15 |
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1982214292 | Tera Dee Robbins | Counselor | 1002 Cambell Street, Warner, OK 74469 | 2020-08-03 |
| 1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1043829278 | Tracy Nanette Mckeown | Counselor | 1777 S Yukon Pkwy, Yukon, OK 73099-4599 | 2020-07-23 |
| 1063039915 | Sarah Nicole Hawthorne | Counselor | 12834 S Old Highway 169, Oologah, OK 74053-3333 | 2020-06-26 |
| 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.