PRISCILLA J WILSON (NPI# 1295203016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295203016 |
| Entity Type | Individual |
| Full Name | PRISCILLA J WILSON |
| Other Name | PRISCILLA J WILSON |
| Credential | LPCC |
| Practice Address |
6268 Boone Ave N Brooklyn Park MN 55428-2729 |
| Mailing Address |
303 21st St Ste 232 Newport MN 55055-1182 |
| Practice Telephone | 6515600050 |
| Practice Fax Number | 6519250257 |
| Mailing Telephone | 7632730671 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01981 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 21st St Ste 232, Newport, MN 550551182 | 6515600050 | 6519250257 |
| 7040 Lakeland Ave N, Brooklyn Park, MN 554285600 | 7632710671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054629 | Priscilla Gann Wilson | Counselor | 1028 W 13th St, Anniston, AL 36201-4434 | 2018-12-17 |
| 1992050355 | Priscilla Larnese Wilson | Licensed Practical Nurse | 950 Underhill Ave, Apt 4c, Bronx, NY 10473-2750 | 2012-07-20 |
| 1124665526 | Priscilla Wilson | Surgery | 701 Tradewinds Blvd Ste B, Midland, TX 79706-3166 | 2019-12-04 |
| 1366951519 | Priscilla Marie Wilson | Nurse Practitioner | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-09-20 |
| 1801157177 | Priscilla Creighton Wilson | Counselor | 1400 Cleveland St, Greenville, SC 29607-2410 | 2012-06-04 |
| 1922212570 | Priscilla A. Wilson | Counselor | 1835 E Military Ave, Suite 111, Fremont, NE 68025-5477 | 2007-05-10 |
| 1801914866 | Priscilla Wilson | Psychologist | 4501 Circle 75 Pkwy Se, Bldg E, Suite 5100, Atlanta, GA 30339-3025 | 2007-03-27 |
| Street Address |
6268 BOONE AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55428-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902947286 | Victoria Marie Rocha | Counselor | 5831 74th Ave N, Brooklyn Park, MN 55443-3109 | 2007-02-09 |
| 1326559576 | Crystal J Ford | Counselor | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2017-10-16 |
| 1770985806 | Rita M. Koelman X | Counselor | 7600 Boone Ave N, Suite #2, Brooklyn Park, MN 55428-4563 | 2014-09-19 |
| 1972913507 | Nikolas Brandon Watkins | Counselor | 7000 78th Ave N, Brooklyn Park, MN 55445-2744 | 2014-05-05 |
| 1932428067 | Restorations for Life Ministries | Counselor | 5831 74th Ave N, Brooklyn Park, MN 55443-3109 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1578162012 | Bemidji Autism and Children's Therapy LLC | Counselor | 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 | 2020-10-24 |
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1386251163 | Jeffrey D Larson, LLC | Counselor | 11735 90th Ave, Milaca, MN 56353-3894 | 2020-09-25 |
| 1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1720694722 | Eleanor (ellie) Freerksen | Counselor | 3 3rd Ave Sw, Dodge Center, MN 55927 | 2020-09-16 |
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55428 |
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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.