JERELYN WILSON (NPI# 1942759816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942759816 |
| Entity Type | Individual |
| Full Name | JERELYN WILSON |
| Practice Address |
206 E Reynolds Dr Ste F Ruston LA 71270-2873 |
| Practice Telephone | 3182547050 |
| Practice Fax Number | 3182547053 |
| Mailing Telephone | 3182547050 |
| Mailing Fax Number | 3182547053 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
206 E REYNOLDS DR STE F |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336500545 | Melissa Kelly | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-03-15 |
| 1609313253 | Ty Key | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2017-01-20 |
| 1902342462 | Katina Crowe | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2017-01-09 |
| 1497299382 | Caurtnai Hill | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-12-12 |
| 1205388782 | Janie Green | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-10-31 |
| 1750832424 | Emmanuel Seals | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-10-18 |
| 1629529300 | Jason Morgan | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-10-18 |
| 1285184176 | Brittney Scott | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-10-04 |
| 1407305048 | Jonique Guidry | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-09-23 |
| 1710435904 | Anthony Hill | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738790 | Tamara Kay Kabel | Counselor | 5204 N Bennett St Apt 507, Ruston, WA 98407-6500 | 2020-10-25 |
| 1740742956 | Ashley Bre'ann Jacobs | Counselor | 609 S Vienna St, Ruston, LA 71270-5038 | 2019-04-05 |
| 1710467899 | Ashley Elizabeth Owen | Counselor | 285 Jed Rd, Ruston, LA 71270-6998 | 2018-08-17 |
| 1467941492 | Kimberly Sherrell Jolivette | Counselor | 3105 Lafourche Ave, Ruston, LA 71270-5260 | 2018-05-04 |
| 1447758842 | Regan Spivey | Counselor | 114 Nutmeg Dr, Ruston, LA 71270-0101 | 2018-01-31 |
| 1356853998 | James Alphonse Benoit | Counselor | 5010 N Highland St, Ruston, WA 98407-3118 | 2017-11-03 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1205358108 | Stephanie Denise Young | Counselor | 172 Heard Rd, Ruston, LA 71270-1033 | 2017-07-12 |
| 1659891182 | Keeansia Greenwood | Counselor | 131 Greene Ln, Ruston, LA 71270-8390 | 2017-06-26 |
| 1952831406 | Keanetta Nicole Brown | Counselor | 1408 Tech Farm Rd Apt D12, Ruston, LA 71270-5484 | 2017-06-18 |
| Find all providers in RUSTON | ||||
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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.