NEAL ANDRE WYATT (NPI# 1699270348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699270348 |
| Entity Type | Individual |
| Full Name | NEAL ANDRE WYATT |
| Credential | LPC |
| Practice Address |
100 Mullins Dr Ste C1 Lebanon OR 97355-2868 |
| Practice Telephone | 5414517450 |
| Practice Fax Number | 5414517454 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C3455 | OR | Behavioral Health & Social Service Providers |
| Street Address |
100 MULLINS DR STE C1 |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948862 | Richard Hindmarsh | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2005-08-09 |
| 1558925974 | Joanne Trzcinski | Counselor | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2019-05-01 |
| 1003362922 | Mid-valley Healthcare, Inc. | Pain Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2016-08-31 |
| 1851335913 | Bruce E. Matthews | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775162 | Melinda Butterfield | Counselor | 2515 Stoltz Hill Rd, Lebanon, OR 97355-1146 | 2020-03-12 |
| 1073145330 | Jamie L Ralston | Counselor | 5232 W State Route 63, Lebanon, OH 45036-8202 | 2020-02-05 |
| 1114480381 | Courtney Nicole Mudd | Counselor | 65 Old Springfield Rd Ste 2, Lebanon, KY 40033-9185 | 2019-04-12 |
| 1407356892 | Susannah Williams | Counselor | 1700 S Lincoln Ave Fl 3, Lebanon, PA 17042-7529 | 2018-02-13 |
| 1861853657 | Justin Donnelly | Counselor | 135 Quita Cir Apt B, Lebanon, TN 37087-4440 | 2016-03-08 |
| 1407213465 | Benjamin Peavey | Counselor | 1 Hough St, Lebanon, NH 03766-1213 | 2016-01-21 |
| 1093107856 | Leslie D Anders | Counselor | 204 Cook Rd Ste 400, Lebanon, OH 45036-9600 | 2015-03-03 |
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1063776037 | Tammy Lynn Mattingly | Counselor | 2894 Sam Browning Rd, Lebanon, KY 40033-9114 | 2012-06-25 |
| 1114205739 | Katie Baghli | Counselor | 204 Hathaway Park, Lebanon, PA 17042-6162 | 2011-07-31 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on NEAL ANDRE WYATT.
| 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.