MRS. L. JANE WILSON (NPI# 1326258864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326258864 |
| Entity Type | Individual |
| Full Name | MRS. L. JANE WILSON |
| Credential | LMFT |
| Practice Address |
809 W Church St Champaign IL 61820-3320 |
| Mailing Address |
1398 East 2250 North Road White Heath IL 61884-0000 |
| Practice Telephone | 2173731850 |
| Practice Fax Number | 2173731856 |
| Mailing Telephone | 2176874132 |
| Mailing Fax Number | 2173731856 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IL | Behavioral Health & Social Service Providers |
| Street Address |
809 W CHURCH ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930619 | Pavilion Foundation | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2006-02-09 |
| 1780055608 | Pavilion Foundation Pharmacy | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2015-10-19 |
| 1538490172 | Staci Lee Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2010-01-21 |
| 1093948440 | Robert J Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2009-09-02 |
| 1407096043 | The Pavilion Foundation | Psychiatric Residential Treatment Facility | 809 W Church St, Champaign, IL 61820-3320 | 2009-02-23 |
| 1255541496 | Sandra Dixon | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-05-23 |
| 1487873915 | Peter Erickson | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2007-04-24 |
| 1316093453 | Janet Wipfli | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235533506 | Life Bridge Therapy | Marriage & Family Therapist | 2507 Curtis Rd, Champaign, IL 61822-9630 | 2014-10-15 |
| 1225303910 | Renee Ann St. Clair | Marriage & Family Therapist | 201 W. Springfield Ave., Suite 1005-1006, Champaign, IL 61820 | 2012-03-14 |
| 1619145950 | Linda Anne Meyer | Marriage & Family Therapist | 3006 S First Street, Champaign, IL 61822-7108 | 2008-02-20 |
| 1124224456 | Elizabeth Ann Scott | Marriage & Family Therapist | 2150 County Road 1000 E, Champaign, IL 61822-9565 | 2007-06-24 |
| 1922408376 | Rose Kormanyos | Marriage & Family Therapist | 1801 Fox Dr, Champaign, IL 61820-7236 | 2014-09-03 |
| 1306139613 | Trevor Elizabeth Kendrick | Marriage & Family Therapist | 201 W Springfield Ave, Champaign, IL 61820-6385 | 2011-05-18 |
| 1982857405 | Suzanne Martinez | Marriage & Family Therapist | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2008-10-28 |
| 1578679346 | Thomas Wesley Grove | Marriage & Family Therapist | 1801 Fox Dr, Champaign, IL 61820-7236 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
| 1124627005 | Sparkle L Nicks | Marriage & Family Therapist | 10508 Churchill Dr, Peoria, IL 61615-1178 | 2020-10-21 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1770199861 | Hana Yoo | Marriage & Family Therapist | 201 E Ogden Ave Ste 217, Hinsdale, IL 60521-3612 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1467065672 | Life Balance Counseling Peoria, Pllc | Marriage & Family Therapist | 8305 N Allen Rd Ste 6, Peoria, IL 61615-1816 | 2020-08-26 |
| 1700497559 | Elisabeth Sanders | Marriage & Family Therapist | 302 W Green St, Bensenville, IL 60106-2410 | 2020-08-14 |
| 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.