JASON WILTZ


Address: 415 Court St, Port Allen, LA 70767-2747
Phone: 2252459070

JASON WILTZ (NPI# 1568097947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568097947
Entity Type Individual
Full Name JASON WILTZ
Practice Address 415 Court St
Port Allen
LA 70767-2747
Mailing Address 2589 Creek Hollow Ave
Zachary
LA 70791-2773
Practice Telephone 2252459070
Practice Fax Number 2252459073
Enumeration Date 2020-03-06
Last Update Date 2020-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 415 COURT ST
City PORT ALLEN
State LA
Zip Code 70767-2747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518570266 Bryanna Immari Jones Case Manager/Care Coordinator 415 Court St, Port Allen, LA 70767-2747 2020-08-24
1255943684 Michelle Samuel Case Manager/Care Coordinator 415 Court St, Port Allen, LA 70767-2747 2020-08-18
1558972117 Amanye Wilkerson Case Manager/Care Coordinator 415 Court St, Port Allen, LA 70767-2747 2020-08-16
1124680285 Jessica Shropshire Counselor 415 Court St, Port Allen, LA 70767-2747 2019-06-28
1568022499 Kirkland Pelichet Community/Behavioral Health 415 Court St, Port Allen, LA 70767-2747 2019-06-13
1568926830 Jocques Parker Counselor 415 Court St, Port Allen, LA 70767-2747 2019-01-30
1902385594 James Escort Counselor 415 Court St, Port Allen, LA 70767-2747 2018-08-14
1669984886 Carl Deshon Weddington Counselor 415 Court St, Port Allen, LA 70767-2747 2017-10-27
1124564711 Hope Behavioral Health Community/Behavioral Health 415 Court St, Port Allen, LA 70767-2747 2017-01-06
1447652086 Louisiana Chiropractic LLC Chiropractor 415 Court St, Port Allen, LA 70767-2747 2014-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386255701 Empowerment Consultants, LLC Counselor 3680 La- 1 South, Port Allen, LA 70767 2020-08-10
1700400934 Just Health Clinic/Center 3975 Rosedale Rd, Port Allen, LA 70767 2020-06-03
1770141756 Tarshea Joy Williams Licensed Practical Nurse 2306 Larguier Lane, Port Allen, LA 70767 2019-06-04
1295264638 Victoria Williams Counselor 6010 Horner Road, Port Allen, LA 70767 2017-06-08
1588015531 Advantage Dental Care, Dr. Louis L Mason Dds LLC Dentist 260 S. Alexander Ave, Port Allen, LA 70767 2016-06-30
1184913493 Joshua Rai Clark Family Medicine 4463 La Highway 1 South, Suite A, Port Allen, LA 70767 2011-04-07
1831386358 Port City Enterprises, Inc. Respite Care 836 N. Seventh St, Port Allen, LA 70767 2007-09-28
1518153139 Trinity Behavioral Health of Port Allen Preferred Provider Organization 2753 Court Street, Unit C, Port Allen, LA 70767 2007-09-18
1912198219 Arnette Scavella Pediatrics 3515 Highway 1 South, Port Allen, LA 70767 2007-08-05
1881814150 Port City Enterprises, Inc. Respite Care 836 N 7th St, Port Allen, LA 70767 2007-04-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295264638 Victoria Williams Counselor 6010 Horner Road, Port Allen, LA 70767 2017-06-08
1255780201 Amena Healthcare Group LLC Counselor 383 Heliotrope St, Port Allen, LA 70767-2841 2016-06-10
1770937716 Clerice Lacy Counselor 1312 Maryland Ave, Port Allen, LA 70767-2232 2016-04-15
1124680285 Jessica Shropshire Counselor 415 Court St, Port Allen, LA 70767-2747 2019-06-28
1568926830 Jocques Parker Counselor 415 Court St, Port Allen, LA 70767-2747 2019-01-30
1902385594 James Escort Counselor 415 Court St, Port Allen, LA 70767-2747 2018-08-14
1669984886 Carl Deshon Weddington Counselor 415 Court St, Port Allen, LA 70767-2747 2017-10-27
1003342668 Allison Owens Counselor 751 Court St, Port Allen, LA 70767-2635 2017-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306447222 Caitlin Mcginn Seelie Counselor 1932 Audubon St, New Orleans, LA 70118-5516 2020-11-06
1578160024 Benjamin Ng Counselor 8758 Field Dr, Baton Rouge, LA 70809-2903 2020-10-07
1275130767 Emily Ludwin Miller Counselor 1941 Congress St, New Orleans, LA 70117-5927 2020-10-07
1932716263 Julie Ireland Counselor 1264 Staci Ln, Sulphur, LA 70665-7951 2020-09-30
1639786502 Erik Rasmussen Counselor 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 2020-09-25
1689280174 Amy Giles Arceneaux Counselor 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 2020-09-20
1619582640 Lisha Kerr Jacobsen Counselor 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 2020-09-15
1528673258 Benjamin R Taylor Jr. Counselor 8728 Waters Edge Ave, Baker, LA 70714-6443 2020-09-10
1144833906 Kelli Cain Counselor 919 Doc Prejean St, Scott, LA 70583-5133 2020-08-31
1760095459 Julie Giroir Galloway Counselor 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 2020-08-24
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Competitor

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City PORT ALLEN
Zip Code 70767

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Dataset Information

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.

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