KRISTEN WILSON (NPI# 1295989440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295989440 |
| Entity Type | Individual |
| Full Name | KRISTEN WILSON |
| Credential | CADC I |
| Practice Address |
1985 Saginaw St S Salem OR 97302-5235 |
| Practice Telephone | 5035087518 |
| Mailing Telephone | 5035087518 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
08-06-79 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON | 08-06-79 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548812274 | Kristen Nicole Wilson | Social Worker | 4900 Sw 46th Ct Apt 211, Ocala, FL 34474-6264 | 2019-07-12 |
| 1801452826 | Kristen Wilson | Registered Nurse | 10410 Ben Venue St, Crosby, TX 77532-7006 | 2019-05-15 |
| 1033687231 | Kristen Anne Wilson | Developmental Therapist | 5315 E 9th St, Indianapolis, IN 46219-4305 | 2018-11-06 |
| 1740549112 | Kristen Elizabeth Wilson | Licensed Practical Nurse | 2971 5th Ave, Huntington, WV 25702-1407 | 2012-05-04 |
| 1396975025 | Kristen E. Wilson | Speech-Language Pathologist | 6520 Nw 57th Ln, Parkland, FL 33067-4454 | 2009-07-15 |
| 1902419161 | Kristen Wilson | Counselor | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2020-08-27 |
| 1780294900 | Kristen Elizabeth Wilson | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2020-08-03 |
| 1235779497 | Kristen E Wilson | Psychologist | 2237 Ridge Rd Ste 101, Rockwall, TX 75087-5161 | 2020-01-15 |
| 1528567906 | Kristen Wilson | Occupational Therapist | 101 Cleveland Ave, Suite, Martinsville, VA 24112 | 2018-02-12 |
| 1992218838 | Kristen Massing Wilson | Pharmacist | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-11-14 |
| Street Address |
1985 SAGINAW ST S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700213428 | David Stember | Psychologist | 16 Front Street, Suite #301, Salem, MA 01970 | 2013-09-27 |
| 1972639904 | Howard Kairys | Psychologist | 254 Essex Street, Suite 207, Salem, MA 01970 | 2007-02-26 |
| 1376509356 | Steven Joseph Lash | Psychologist | 1970 Boulevard, Vamc Psychology Service (116b1), Salem, VA 24153-6404 | 2006-04-26 |
| 1205892155 | Stephanie Adams Fearer | Psychologist | 1970 Roanoke Blvd, Salem Vamc Psychology 116b1, Salem, VA 24153-6404 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811338056 | Anthony Nello Giardina | Psychologist | 2138 Ne Halsey St, Apt 4, Portland, OR 97232-1562 | 2013-07-16 |
| 1134584527 | Tara Holly Rayburn | Psychologist | 486 12th St, Astoria, OR 97103-4122 | 2015-12-29 |
| 1437521788 | Recovery Partners, P.C. | Psychologist | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006-5208 | 2015-10-27 |
| 1164891180 | Recovery Partners, P.C. At Springbrook | Psychologist | 1901 Esther St, Newberg, OR 97132-9529 | 2015-09-21 |
| 1013282482 | Trina Schlichting | Psychologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-03-17 |
| 1679851075 | Terrence K Wager | Psychologist | 1800 Blankenship Rd, Ste.200, West Linn, OR 97068-4172 | 2011-08-02 |
| 1679861637 | Bobby L Trihub | Psychologist | 1901 Esther St, Newberg, OR 97132-9529 | 2011-07-12 |
| 1508033994 | Northwest Integrative Health Center PC | Psychologist | 201 N Meridian St Ste B, Newberg, OR 97132-2752 | 2008-05-14 |
| 1548454465 | George A Howard | Psychologist | 5 Centerpointe Dr Ste 400, Lake Oswego, OR 97035-8661 | 2007-09-04 |
| 1326136110 | Byron N Fujita | Psychologist | 524 Main St, Oregon City, OR 97045-1824 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
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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.