JORDAN WILSON (NPI# 1609346030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609346030 |
| Entity Type | Individual |
| Full Name | JORDAN WILSON |
| Credential | HS |
| Practice Address |
9330 59th Ave Sw Lakewood WA 98499-2858 |
| Practice Telephone | 2536205015 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914341 | Jordan Wilson | Dietitian, Registered | 2075 E Flamingo Rd -southmagna, Room242, Las Vegas, NV 89119-5188 | 2017-10-25 |
| 1265951610 | Jordan Elisabeth Wilson | Behavior Technician | 1114 Main St Apt A, Danville, VA 24541-2954 | 2017-09-18 |
| 1568060879 | Jordan Leigh Wilson | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-10-09 |
| 1962041095 | Jordan Wilson | Case Manager/Care Coordinator | 3800 Watt Ave, Sacramento, CA 95821-2670 | 2020-01-07 |
| 1235775263 | Jordan Wilson | Pharmacist | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2019-11-25 |
| 1508344037 | Jordan Wood Wilson | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030 | 2018-08-06 |
| 1578073821 | Jordan Wilson | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109 | 2017-10-01 |
| 1235651720 | Jordan Wilson | Physician Assistant | 2428 W Reynolds Ave, Centralia, WA 98531 | 2017-07-17 |
| 1710295951 | Jordan Nicole Wilson | Physical Therapy Assistant | 111 E Washington St, Bensenville, IL 60106-2674 | 2010-09-22 |
| Street Address |
9330 59TH AVE SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039811 | Greater Lakes Mental Health Foundation Inc | Community/Behavioral Health | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2005-08-03 |
| 1568063915 | Taibika O Lofton | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1164023552 | Meaghan Nicole Trezza | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1295335362 | Estrella Nicole Alderete | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-28 |
| 1760081004 | Taylor Shae Brenneise | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-19 |
| 1508463324 | Lacey Lynn Gomez | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-05 |
| 1487261186 | Mallory Enola O'brien | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-26 |
| 1912513136 | Ashley Maeve Marrow | Peer Specialist | 9330 59th Ave Sw, Lakewood, WA 98499-6600 | 2020-09-22 |
| 1376158527 | Sydney Freutel | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-14 |
| 1063027522 | Tiffany Lynn Myers | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345831 | Emily Newberger | Counselor | 777 S Wadsworth Blvd # 2-103a, Lakewood, CO 80226-4300 | 2020-10-26 |
| 1184230153 | Eunice Njambi Waithaka | Counselor | 6421 Montclair Ave Sw, Lakewood, WA 98499-1586 | 2020-09-16 |
| 1891319018 | Morgan Agagah | Counselor | 10911 W 16th Dr Apt 5-100, Lakewood, CO 80215-2711 | 2020-06-03 |
| 1629691696 | Aleks Riley Taylor | Counselor | 8233 W Floyd Ave Apt 7-108, Lakewood, CO 80227-4743 | 2020-05-25 |
| 1184244378 | Melissa Ann Crutchfield | Counselor | 13701 W Jewell Ave Ste 200, Lakewood, CO 80228-6033 | 2020-04-17 |
| 1518591577 | Elena Kronmiller | Counselor | 7114 W Jefferson Ave Ste 396, Lakewood, CO 80235-2354 | 2020-02-28 |
| 1265075147 | Sadiqah Nasira Jami | Counselor | 1444 Coutant Ave Apt 304, Lakewood, OH 44107-5177 | 2019-10-23 |
| 1336799485 | Karyn Cecilia Resch Brackney | Counselor | 3333 S Wadsworth Blvd Unit 201, Lakewood, CO 80227-5141 | 2019-09-19 |
| 1487207148 | Ambrosia Jones | Counselor | 20734 Hawaiian Ave, Lakewood, CA 90715-1627 | 2019-07-22 |
| 1700442589 | Theodor Michael Eiben | Counselor | 1662 Mars Ave # 103, Lakewood, OH 44107-3825 | 2019-05-16 |
| Find all providers in LAKEWOOD | ||||
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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.