MS. JANE EDITH WILSON (NPI# 1689063646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689063646 |
| Entity Type | Individual |
| Full Name | MS. JANE EDITH WILSON |
| Practice Address |
11027 Bubank Blvd North Hollywood CA 91601 |
| Mailing Address |
17412 Ventura Blvd #820 Encino CA 91316-3827 |
| Practice Telephone | 8189858323 |
| Practice Fax Number | 8189854297 |
| Mailing Telephone | 8182674058 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | 190095AN | CA | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8330 Lankershim Blvd, North Hollywood, CA 916051615 | 8189947454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023429297 | Jane C. Wilson | Specialist/Technologist | 4707 W Gandy Blvd Ste 12b, Tampa, FL 33611-3328 | 2014-05-09 |
| 1487814828 | Jane Elspeth Wilson | Mechanotherapist | 39 Burtis St, Portsmouth, VA 23702-2703 | 2008-06-10 |
| 1659375335 | Jane Ellen Wilson | Pediatrics | 5550 S East St, Ste.i, Indianapolis, IN 46227-1979 | 2005-06-09 |
| 1972142008 | Jane Wilson | Social Worker | 10005 24th St E, Edgewood, WA 98371-2130 | 2020-01-07 |
| 1760813430 | Jane Gallaudet Wilson | Registered Nurse | 74 Baribeau Dr, Brunswick, ME 04011-3218 | 2013-12-06 |
| 1720257991 | Jane Ellen Wilson | Family Medicine | 900 Caton Ave, Mailbox 081, Baltimore, MD 21229-5201 | 2008-02-21 |
| 1356528467 | Jane Lewis Wilson | Occupational Therapist | 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 | 2008-01-31 |
| 1306037965 | Jane Marie Wilson | Dietitian, Registered | 8001 Franklin Farms Dr, Suite 215, Richmond, VA 23229-5108 | 2007-08-07 |
| 1790976017 | Jane Elizabeth Wilson | Counselor | 506 W Lincoln Ave, Suite 1000, Charleston, IL 61920-2453 | 2007-08-05 |
| 1174686646 | Jane Marie Wilson | Nurse Practitioner | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2006-12-18 |
| Street Address |
11027 BUBANK BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508305772 | Melody Zara | Acupuncturist | 5257 Vineland Ave., North Hollywood, CA 91601 | 2017-02-21 |
| 1013455500 | Chandler Treatment LLC | Preferred Provider Organization | 5503 Cahuenga Blvd Suite 201, Northhollywood, CA 91601 | 2017-02-06 |
| 1770021230 | Bairat Shasi | Nurse Practitioner | 5251 Vineland Ave Apt 514, North Hollywood, CA 91601 | 2017-02-05 |
| 1194187609 | A&m Miracle Home Health Care, Inc | Home Health | 10545 Burbank Blvd., Suite 127, North Hollywood, CA 91601 | 2016-03-23 |
| 1053771329 | Suzette Galvez | Case Manager/Care Coordinator | 11415 Albers St Apt 4, Noho, CA 91601 | 2016-03-01 |
| 1467835025 | Loyalty Home Health, Inc. | Home Health | 10545 Burbank Blvd Suite 117, North Hollywood, CA 91601 | 2015-07-01 |
| 1083022206 | Mulberry Leaf Acupuncture & Herbs | Acupuncturist | 5257 Vineland Ave, North Hollywood, CA 91601 | 2014-07-31 |
| 1306256813 | Confidence & Care Hospice, Inc. | Hospice Care, Community Based | 10523 Burbank Blvd Suite 221, North Hiollywood, CA 91601 | 2014-05-06 |
| 1255751020 | Reliable Comfort and Care Hospice, Inc. | Hospice Care, Community Based | 10523 Burbank Blvd Suite 218, North Hollywood, CA 91601 | 2014-04-21 |
| Find all providers in zip 91601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375181 | Wendy M Cordero | Counselor | 6961 Whitsett Ave Apt 20, North Hollywood, CA 91605-5425 | 2018-11-17 |
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508226937 | Justin Mabini | Counselor | 6180 Laurel Canyon Blvd Ste 275, North Hollywood, CA 91606-3215 | 2016-02-26 |
| 1487011623 | Sandra Gutierrez | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605 | 2016-01-19 |
| 1538428990 | Jill Doreen Gustafson | Counselor | 11120 Acama St, North Hollywood, CA 91602-3025 | 2012-05-04 |
| 1710290531 | Patricia Moreno | Counselor | 7822 Radford Ave, North Hollywood, CA 91605-2515 | 2010-07-21 |
| 1679890537 | Muriel Centeno | Counselor | 6742 Clybourn Ave, 3227, North Hollywood, CA 91606-2260 | 2010-04-30 |
| 1811135866 | I-adarp, Inc. | Counselor | 8330 Lankershim Blvd., North Hollywood, CA 91605 | 2009-01-29 |
| 1750559779 | Total Family Support Clinic | Counselor | 11031 Camarillo St, North Hollywood, CA 91602-1210 | 2008-02-12 |
| 1245444934 | Michelle Blalock | Counselor | 11321 Camarillo St, North Hollywood, CA 91602-1216 | 2007-05-10 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91601 |
Please comment or provide details below to improve the information on MS. JANE EDITH 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.