JAN WILSON (NPI# 1326131103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326131103 |
| Entity Type | Individual |
| Full Name | JAN WILSON |
| Credential | LMHC |
| Practice Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122461230 |
| Practice Fax Number | 7122467357 |
| Mailing Telephone | 7122461230 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00897 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714959 | Jan Wilson | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2019-11-11 |
| 1558489526 | Jan Wilson | Occupational Therapist | 555 E Clay St, El Paso, IL 61738-1508 | 2007-03-27 |
| Street Address |
300 PERSHING AVE |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1952914566 | Dena Herzberg | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2020-08-25 |
| 1104317379 | Denise J Mcenaney | Dietitian, Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-05-23 |
| 1730697681 | Jessica Anne Heitkamp | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-01-12 |
| 1073964854 | Ashlee Jo Richardson | Physical Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-23 |
| 1447609300 | Logan J Kopf | Nurse Anesthetist, Certified Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-10 |
| 1154797876 | Shala Davidson | Nutritionist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-08-17 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1194079954 | Shenandoah Medical Center | Durable Medical Equipment & Medical Supplies | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840316 | Authentic Journey Counseling Services, P.C. | Counselor | 509 W Sheridan Ave, Shenandoah, IA 51601-1705 | 2017-02-18 |
| 1821531518 | Alyssa Meyers | Counselor | 250 Ed English Dr Bldg 3, Shenandoah, TX 77385-8020 | 2016-11-29 |
| 1144695040 | Midwest Mental Health LLC | Counselor | 523 W Sheridan Ave, Shenandoah, IA 51601-1705 | 2015-12-03 |
| 1003031758 | Susan K Narduccie | Counselor | 600 Fremont St, Shenandoah, IA 51601-1539 | 2007-04-16 |
| 1992342166 | Va-shella Easton | Counselor | 9191 Pinecroft Dr Ste 250, Shenandoah, TX 77380-2816 | 2019-12-05 |
| 1578113841 | Brittany Gilchrist | Counselor | 250 Ed English Dr Bldg 3, Shenandoah, TX 77385-8020 | 2019-09-18 |
| 1477100600 | Sprintz Center for Recovery, Pllc | Counselor | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2019-08-22 |
| 1699330191 | Angela Dawn Mace | Counselor | 523 W Sheridan Ave, Shenandoah, IA 51601-1705 | 2019-05-09 |
| 1699286971 | Edanne Lynn Murphy | Counselor | 509 W Sheridan Ave, Shenandoah, IA 51601-1705 | 2017-10-13 |
| 1003352048 | Michelle Marie Jarosz | Counselor | 523 W Sheridan Ave, Shenandoah, IA 51601-1705 | 2017-01-15 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
Please comment or provide details below to improve the information on JAN WILSON.
| 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.