JODI LYN WILTON (NPI# 1982793063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982793063 |
| Entity Type | Individual |
| Full Name | JODI LYN WILTON |
| Other Name | JODI LYN LIVERMON |
| Credential | M.ED, LISAC, LPC |
| Practice Address |
1901 N Trekell Rd Casa Grande AZ 85222-1770 |
| Practice Telephone | 5204212566 |
| Practice Fax Number | 5204212775 |
| Mailing Telephone | 5204212566 |
| Mailing Fax Number | 5204212775 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-1101 | AZ | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC-12135 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1901 N TREKELL RD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709357 | Jessica Eisenhauer | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2020-01-09 |
| 1356793608 | Deborah L Mcclish | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2016-07-11 |
| 1194192922 | Kristy Blakeman | Registered Nurse | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2015-08-27 |
| 1538554977 | Colleen Fitzpatrick-rodgers | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2015-04-02 |
| 1417342114 | Joan Mcgillicuddy | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2015-03-31 |
| 1992109599 | Thomas Walter | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2014-10-10 |
| 1497005656 | Jose B. Cornejo | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2012-09-14 |
| 1316194129 | Louis H Adams | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85222-1770 | 2008-08-22 |
| 1720247836 | Christi Jo Stice | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2008-06-03 |
| 1750548038 | Shannon L. Moreno | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85222-1770 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154822062 | Community Medical Services Arizona-private, LLC | Counselor | 440 N Camino Mercado Ste 2, Casa Grande, AZ 85122-5750 | 2018-02-26 |
| 1598086076 | Michael Allen Vanslyke | Counselor | 6540 N Cholla Ln, Casa Grande, AZ 85194-6896 | 2010-06-18 |
| 1023339744 | Sandra A Murdock | Counselor | 102 N Florence St, Casa Grande, AZ 85122-4419 | 2010-06-16 |
| 1508194945 | Jennifer Sielaff | Counselor | 2271 S Peart Rd, Casa Grande, AZ 85122-8545 | 2009-11-23 |
| 1407006380 | Jennifer L Enders | Counselor | 1115 E Florence Blvd, Casa Grande, AZ 85122-4228 | 2008-09-26 |
| 1770704926 | Arizona Treatment Institute, LLC. | Counselor | 1927 N Trekell Rd, Suite D, Casa Grande, AZ 85222-1762 | 2007-05-02 |
| 1417098583 | Tricia Foster | Counselor | 900 E Florence Blvd Ste G, Casa Grande, AZ 85222-4673 | 2007-02-09 |
| 1093867285 | Elizabeth Ann Faulkner | Counselor | 425 N Lincoln Ave, Casa Grande, AZ 85222-4635 | 2007-01-17 |
| 1760579486 | Florence Suzanne Kacprzynski` | Counselor | 222 E. Cottonwood Lane, Casa Grande, AZ 85222 | 2006-10-06 |
| 1023103272 | Horizon Human Services, Inc. | Counselor | 865 N. Arizola Rd, Casa Grande, AZ 85222 | 2006-10-04 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
Please comment or provide details below to improve the information on JODI LYN WILTON.
| 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.