MISS GRETCHEN WILSON (NPI# 1063477321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063477321 |
| Entity Type | Individual |
| Full Name | MISS GRETCHEN WILSON |
| Credential | CSW |
| Practice Address |
1578 W 1700 S #200 Slc UT 84104-3470 |
| Mailing Address |
875 Donner Way #209 Slc UT 84108-2159 |
| Practice Telephone | 8019722711 |
| Practice Fax Number | 8019722709 |
| Mailing Telephone | 8019722711 |
| Mailing Fax Number | 8019722709 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5363133-3502 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 788007788049 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417116393 | Gretchen Wilson | Technician, Health Information | 14207 W 95th St, Lenexa, KS 66215-5208 | 2008-06-05 |
| 1073574232 | Gretchen Gay Wilson | Physician Assistant | 10140 Estate Lane, Dallas, TX 75238 | 2006-03-29 |
| 1497731012 | Gretchen M Wilson | Speech-Language Pathologist | 5440 Copper Springs Ln, Cumming, GA 30040-5626 | 2005-12-15 |
| 1013061506 | Gretchen Ann Wilson | Occupational Therapist | 2400 Unser Blvd Se, Rio Rancho, NM 87124-3392 | 2007-01-22 |
| Street Address |
1578 W 1700 S #200 |
| City | SLC |
| State | UT |
| Zip Code | 84104-3470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801169305 | Jennifer Cowley Condon | Social Worker | 1578 W 1700 S, Slc, UT 84104-3470 | 2012-02-14 |
| 1699730952 | Amanda Russell | Counselor | 1578 W 1700 S, #200, Slc, UT 84104-3470 | 2006-04-19 |
| 1578528352 | Shirley Ann Sutton | Counselor | 1578 W 1700 S, #200, Slc, UT 84104-3470 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673013 | Neighborhood House | Clinic/Center | 423 South 1100 West, Salt Lake City, UT 84104 | 2016-07-15 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1154561090 | Stephen Kent Jones | General Practice | 174 West Parrish Lane, Centerville, UT 84104 | 2009-03-05 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1639294721 | Ihc Health Services | Clinic/Center | 855 W 1300 S, Salt Lake City, UT 84104 | 2007-03-20 |
| 1700957552 | Neighborhood House | Custodial Care Facility | 423 So 1100 West, Salt Lake City, UT 84104 | 2006-11-13 |
| 1912014234 | Over The Road Dental | Dentist | 1953 W. California Ave, Salt Lake City, UT 84104 | 2006-08-23 |
| 1962492504 | Lifeskills Vocational Center | Day Training, Developmentally Disabled Services | 1656 W 1500 S, Salt Lake City, UT 84104 | 2005-10-25 |
| 1366439507 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1765 S 900 W Ste 88, Salt Lake City, UT 84104 | 2005-10-03 |
| 1588813521 | Concentra Health Services, Inc. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2008-09-15 |
| Find all providers in zip 84104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902449648 | Julie Lynne Catoe | Counselor | 1953 S 1600 E, Slc, UT 84105-3846 | 2019-10-25 |
| 1518453141 | Kania Antione Gardner | Counselor | 4460 S. Highland Dr, Slc, UT 84124-3503 | 2018-07-06 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1568660108 | Stephanie Obrien | Counselor | 650 Komas Dr Ste 200, Slc, UT 84108-1241 | 2007-07-05 |
| 1265077523 | Joshua Silas Emmett | Counselor | 344 E 100 S, Slc, UT 84111-1700 | 2019-11-11 |
| 1588134464 | Christopher Hahn Whitehead | Counselor | 857 E 200 S, Slc, UT 84102-2317 | 2018-12-04 |
| 1891277521 | Cheryl Christy | Counselor | 4460 S Highland Dr, Slc, UT 84124-3543 | 2018-08-29 |
| 1982183513 | Kammy Lea Yorgason | Counselor | 1141 E 3900 S Ste A170, Slc, UT 84124-1250 | 2018-08-14 |
| 1700379617 | Ethan Smith Evans | Counselor | 443 S 600 E, Slc, UT 84102-2708 | 2018-06-14 |
| 1487141941 | Virginia Lopez | Counselor | 443 S 600 E, Slc, UT 84102-2708 | 2018-04-19 |
| Find all providers in SLC | ||||
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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.