JAN L WILKENSON (NPI# 1174076582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174076582 |
| Entity Type | Individual |
| Full Name | JAN L WILKENSON |
| Credential | L.P.C.C., N.C.C. |
| Practice Address |
Heart Matters Counseling Center 13550 Northgate Estates Drive, #200 Colorado Springs CO 80921 |
| Mailing Address |
4251 Date St Colorado Springs CO 80917-4907 |
| Practice Telephone | 7194644771 |
| Mailing Telephone | 7194644771 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0013848 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSED PROFESSIONAL COUNSELOR CANDIDATE | 0013848 | 01 |
| Street Address |
HEART MATTERS COUNSELING CENTER 13550 NORTHGATE ESTATES DRIVE, #200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
| 1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
| 1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
| 1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
| 1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
| 1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
| 1891159232 | Michael Ettleman Maher | Physical Medicine & Rehabilitation | 583 Coyote Willow Drive, Colorado Springs, CO 80921 | 2016-04-12 |
| Find all providers in zip 80921 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1437759073 | Haley Marie Rosario | Counselor | 6535 Sam Houston Loop Apt D, Colorado Springs, CO 80902-4723 | 2020-10-30 |
| 1043819204 | Whitney Moore | Counselor | 5360 N Academy Blvd Ste 100, Colorado Springs, CO 80918-4006 | 2020-10-20 |
| 1013516392 | Step Forward Counseling Services | Counselor | 4145 Sudbury Rd, Colorado Springs, CO 80908-1336 | 2020-10-19 |
| 1306444393 | Anthonie Arend Van Zoeren | Counselor | 1257 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3561 | 2020-10-13 |
| 1093321804 | Michelle Vela | Counselor | 8444 Grand Peak Summit Vw, Colorado Springs, CO 80920-7158 | 2020-09-17 |
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1811501620 | Cheyenne Mountain Therapy, LLC | Counselor | 1767 S 8th St Ste 120, Colorado Springs, CO 80905-1972 | 2020-08-31 |
| 1437762838 | Tanya Davie | Counselor | 3110 Hudson St, Colorado Springs, CO 80910-2943 | 2020-08-25 |
| 1780296657 | Yhatisse Michelle Reynolds- Jones | Counselor | 6942 Bitterroot Dr, Colorado Springs, CO 80923-7328 | 2020-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80921 |
Please comment or provide details below to improve the information on JAN L WILKENSON.
| 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.