JAMIE WILSON (NPI# 1770913832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770913832 |
| Entity Type | Individual |
| Full Name | JAMIE WILSON |
| Credential | LLP |
| Practice Address |
5001 Plainfield Ave Ne Ste B Grand Rapids MI 49525-1050 |
| Mailing Address |
5100 Plainfield Ave Suite B Grand Rapids MI 49525 |
| Practice Telephone | 6166001667 |
| Mailing Telephone | 6166001667 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6301015678 | MI | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 6301015678 | MI | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6301015678 | MI | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
6301015678 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1770913832 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4829 E Beltline Ave Ne Ste Office7, Grand Rapids, MI 495259747 | 6166447064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313223 | Jamie Sueann Wilson | Massage Therapist | 240 Harwood Rd Ste 3, Bedford, TX 76021-4189 | 2020-10-09 |
| 1295360071 | Jamie E Wilson | Case Manager/Care Coordinator | 1270 Peeks Ford Rd Se, Conyers, GA 30013-2944 | 2020-03-11 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1740684729 | Jamie Wilson | Nurse Practitioner | 24 White Bridge Pike, Nashville, TN 37205-1411 | 2014-10-20 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1457578411 | Jamie Linn Wilson | Registered Nurse | 15244 County Road 3, Frazeysburg, OH 43822-9622 | 2007-04-19 |
| 1164057808 | Jamie Wilson | Neurological Surgery | 4242 Farnam St Ste 550, Omaha, NE 68131-2813 | 2020-03-03 |
| 1962052746 | Jamie C Wilson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-13 |
| 1205489630 | Jamie Lynn Wilson | Social Worker | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-24 |
| 1346808250 | Jamie L Wilson | Counselor | 130 W 3rd St, Dover, OH 44622-2934 | 2019-06-05 |
| Street Address |
5001 PLAINFIELD AVE NE STE B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1528692779 | Tracy Norcross | Counselor | 2430 Camelot Ct Se, Grand Rapids, MI 49546-6001 | 2020-02-26 |
| 1487202743 | New Beginnings Counseling LLC | Counselor | 104 Ne 3rd St # 200h, Grand Rapids, MN 55744-2869 | 2019-08-29 |
| 1922652098 | Jason Powers | Counselor | 2033 43rd St Se Apt V8, Grand Rapids, MI 49508-8734 | 2019-07-28 |
| 1588225882 | Hope Restored Counseling Center LLC | Counselor | 2180 44th St Se Ste 302, Grand Rapids, MI 49508-5323 | 2019-06-26 |
| 1164089884 | Savanna Marie Vanderberg | Counselor | 1131 Worden St Se, Grand Rapids, MI 49507-1472 | 2019-05-29 |
| 1609432996 | Robb Kornoelje | Counselor | 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503-1891 | 2019-05-13 |
| 1316423841 | Lorie Tensen | Counselor | 456 College Ave Se Apt 1, Grand Rapids, MI 49503-5373 | 2018-07-18 |
| 1548750524 | Katelyn Cable Ma LLP | Counselor | 5001 Plainfield Ave Se, Suite B, Grand Rapids, MI 49525-9349 | 2018-05-15 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on JAMIE WILSON.
| 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.