JASON WILTZ (NPI# 1568097947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
415 COURT ST |
City | PORT ALLEN |
State | LA |
Zip Code | 70767-2747 |
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 |
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 |
Find all providers in zip 70767 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | PORT ALLEN |
Zip Code | 70767 |
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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.