TANIQUELL WILDER (NPI# 1871036046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871036046 |
| Entity Type | Individual |
| Full Name | TANIQUELL WILDER |
| Credential | PCLC |
| Practice Address |
3985 Valley Commons Dr Bozeman MT 59718-6633 |
| Practice Telephone | 4065895309 |
| Mailing Telephone | 4065895309 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | BBH-LCPC-LIC-231 | MT | Behavioral Health & Social Service Providers |
| Street Address |
3985 VALLEY COMMONS DR |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-6633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710916614 | Health In Motion Physical Therapy Inc | Physical Therapist | 3985 Valley Commons Dr, Bozeman, MT 59718-6633 | 2006-07-02 |
| 1932735354 | Rachel D Esbjornson | Massage Therapist | 3985 Valley Commons Dr, Bozeman, MT 59718-6633 | 2020-03-17 |
| 1437708989 | Elizabeth Evans | Massage Therapist | 3985 Valley Commons Dr, Bozeman, MT 59718-6633 | 2019-09-07 |
| 1770030900 | Valerie Schwankl | Acupuncturist | 3985 Valley Commons Dr, Bozeman, MT 59718-6633 | 2016-09-06 |
| 1427190297 | Patricia Kay Gehman | Specialist | 3985 Valley Commons Dr, Bozeman, MT 59718-6633 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| 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 |
|---|---|---|---|---|
| 1205313806 | Advanced Counseling Bozeman | Counselor | 300 N Willson Ave Ste 3005-10, Bozeman, MT 59715-3537 | 2018-07-26 |
| 1659858629 | Jennie Lynn Stanley | Counselor | 416 W Mendenhall St Unit C, Bozeman, MT 59715-3449 | 2018-07-23 |
| 1306341862 | Salie Marise Rowell | Counselor | 4055 Valley Commons Dr Ste H, Bozeman, MT 59718-6434 | 2018-03-27 |
| 1659870764 | Aubrey Hancock | Counselor | 3352 S 28th Ave, Bozeman, MT 59718-3712 | 2018-02-03 |
| 1972018372 | Francesca Schaerrer | Counselor | 65 W Kagy Blvd, Bozeman, MT 59715-6052 | 2017-12-07 |
| 1982149654 | Aimee Lynne Lang | Counselor | 2725 Jackrabbit Lane, Bozeman, MT 59718-5717 | 2017-01-04 |
| 1770939803 | Peter Coyle | Counselor | 2514 Snapdragon St, Bozeman, MT 59718-7589 | 2016-05-07 |
| 1124485586 | Jennifer Bain | Counselor | 1996 Little Cottage Ln Apt 9, Bozeman, MT 59715-9440 | 2016-01-15 |
| 1720462450 | Louise Hill | Counselor | 204 E Granite Ave # 4, Bozeman, MT 59718-6437 | 2015-07-13 |
| 1619391026 | Jennifer Emery Fiebig | Counselor | 321 E Main St Ste 417a, Bozeman, MT 59715-4797 | 2014-02-06 |
| Find all providers in BOZEMAN | ||||
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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.