MRS. SHIRLEY JO WILSON (NPI# 1780828699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780828699 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY JO WILSON |
| Credential | LPC |
| Practice Address |
765 Manitou Road Lakeview Counseling Center Manitou Beach MI 49253 |
| Mailing Address |
5088 Townley Hwy Manitou Beach MI 49253-9784 |
| Practice Telephone | 5174034950 |
| Mailing Telephone | 5174034950 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH | 12550792 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962709972 | Shirley Wilson | Rehabilitation Practitioner | 2452 Daks Loden Ct, Henderson, NV 89044-8767 | 2011-02-28 |
| 1871630178 | Shirley Ann Wilson | Psychologist | 7165 B Swinnea, Ste 1, Southaven, MS 38671 | 2007-01-30 |
| 1679643050 | Shirley Rue Wilson | Pharmacist | 2 Fig Street, Cape Charles, VA 23310 | 2006-11-09 |
| 1235740721 | Shirley Ann Wilson | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-08-10 |
| 1437713526 | Shirley Wilson | Health Educator | 3220 Blume Dr Ste 154, Richmond, CA 94806-1980 | 2019-04-24 |
| 1891269593 | Shirley Wilson | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2019-01-15 |
| 1124271630 | Shirley Ann Wilson | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2008-10-28 |
| 1730335035 | Shirley Marie Wilson | Counselor | 500 8th Ave, 3rd Floor, New York, NY 10018-6504 | 2008-08-18 |
| 1427170067 | Shirley M. Wilson | Dental Assistant | 450 Sutter St, Suite 2439, San Francisco, CA 94108-4206 | 2007-04-04 |
| 1184749954 | Shirley H Wilson | Counselor | 1131 Airport Rd., Suite 5, Milford, DE 19963 | 2007-03-20 |
| Street Address |
765 MANITOU ROAD LAKEVIEW COUNSELING CENTER |
| City | MANITOU BEACH |
| State | MI |
| Zip Code | 49253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407289374 | Lakeview Family Counseling Center LLC | Counselor | 765 Manitou Road, Manitou Beach, MI 49253 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932236 | Bailey Feekings | Specialist/Technologist | 210 Manitou Rd, Manitou Beach, MI 49253 | 2017-06-19 |
| 1588039952 | Christina Jones | Licensed Practical Nurse | 185 S Lakeview Blvd, Manitou Beach, MI 49253-9117 | 2015-12-09 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1801284609 | Barbra Stubli | Licensed Practical Nurse | 3155 Townley Hwy, Manitou Beach, MI 49253-9724 | 2014-12-31 |
| 1992339311 | Kelly R Niezurawski | PACE Provider Organization | 6500 N Hawkins Hwy, Manitou Beach, MI 49253-9736 | 2020-02-25 |
| 1225428428 | Kristina Powell | Licensed Practical Nurse | 18733 Slee Rd, Manitou Beach, MI 49253-9741 | 2015-01-27 |
| 1518262393 | Aileen Marie Myers Maloney | Registered Nurse | 6509 Weber Dr, Manitou Beach, MI 49253-9749 | 2011-01-25 |
| 1710348404 | Tonya R Snyr | Registered Nurse | 8388 Round Lake Hwy, Manitou Beach, MI 49253-9779 | 2016-03-09 |
| 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 |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1316548720 | Christopher Klein | Counselor | Christopher Klein, 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-11-03 |
| 1851991640 | Crystal Lee Stewart | Counselor | 20500 Eureka Rd Ste 200, Taylor, MI 48180-6394 | 2020-10-29 |
| 1538768213 | The Made Institute | Counselor | 503 Garland St, Flint, MI 48503-2523 | 2020-10-22 |
| 1154938801 | Keenya Harris | Counselor | 1496 Mapleview St Se, Kentwood, MI 49508-4838 | 2020-09-27 |
| 1851908636 | Jearald Dudley II | Counselor | 47 Carriage Way, Ypsilanti, MI 48197-7430 | 2020-09-25 |
| 1407462450 | The Root Causation LLC | Counselor | 2483 S Linden Rd Ste 50, Flint, MI 48532-5435 | 2020-09-16 |
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1215542154 | Tamara Latrice Butler | Counselor | 27085 Gratiot Ave Ste 108, Roseville, MI 48066-2984 | 2020-09-08 |
| 1205449162 | Katherine Ann Huttenlocher | Counselor | 2835 Carpenter Rd Ste 5, Ann Arbor, MI 48108-1172 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | MANITOU BEACH |
| Zip Code | 49253 |
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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.