KRISTEN WILSON (NPI# 1902419161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902419161 |
Entity Type | Individual |
Full Name | KRISTEN WILSON |
Other Name | KRISTEN MATTHEWS |
Credential | LLPC, NCC |
Practice Address |
9409 N Haggerty Rd Plymouth MI 48170-4696 |
Mailing Address |
518 Thomas St Ypsilanti MI 48198-3016 |
Practice Telephone | 7345593540 |
Mailing Telephone | 7347873802 |
Enumeration Date | 2020-08-27 |
Last Update Date | 2020-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 6401014311 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548812274 | Kristen Nicole Wilson | Social Worker | 4900 Sw 46th Ct Apt 211, Ocala, FL 34474-6264 | 2019-07-12 |
1801452826 | Kristen Wilson | Registered Nurse | 10410 Ben Venue St, Crosby, TX 77532-7006 | 2019-05-15 |
1033687231 | Kristen Anne Wilson | Developmental Therapist | 5315 E 9th St, Indianapolis, IN 46219-4305 | 2018-11-06 |
1740549112 | Kristen Elizabeth Wilson | Licensed Practical Nurse | 2971 5th Ave, Huntington, WV 25702-1407 | 2012-05-04 |
1396975025 | Kristen E. Wilson | Speech-Language Pathologist | 6520 Nw 57th Ln, Parkland, FL 33067-4454 | 2009-07-15 |
1295989440 | Kristen Wilson | Psychologist | 1985 Saginaw St S, Salem, OR 97302-5235 | 2008-11-13 |
1780294900 | Kristen Elizabeth Wilson | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2020-08-03 |
1235779497 | Kristen E Wilson | Psychologist | 2237 Ridge Rd Ste 101, Rockwall, TX 75087-5161 | 2020-01-15 |
1528567906 | Kristen Wilson | Occupational Therapist | 101 Cleveland Ave, Suite, Martinsville, VA 24112 | 2018-02-12 |
1992218838 | Kristen Massing Wilson | Pharmacist | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-11-14 |
Street Address |
9409 N HAGGERTY RD |
City | PLYMOUTH |
State | MI |
Zip Code | 48170-4696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780090258 | Transformational Services LLC | Counselor | 9409 N Haggerty Rd, Plymouth, MI 48170 | 2014-07-06 |
1790312759 | Simone Cruzet-mccullom | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2020-03-26 |
1780234815 | Kelli Elizabeth Kunec | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-09-20 |
1568012813 | Brett Schwartz | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-09-18 |
1912553389 | Aida Taleb | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-08-12 |
1558916270 | Hassan Jafer | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-08-08 |
1699320861 | Emily Zimmer | Counselor | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-08-05 |
1811542178 | Paige Pattenaude | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-08-05 |
1457906711 | Theresa Dunbar | Psychologist | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-08-05 |
1457813958 | Amanda Briskey | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2019-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
Find all providers in zip 48170 |
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 |
---|---|---|---|---|
1487272787 | Alec Medeiros | Counselor | 16 Chickadee Way, Plymouth, MA 02360-1659 | 2020-07-13 |
1215569991 | Jessica Lynn Payne | Counselor | 260 S Union St, Plymouth, MI 48170-1612 | 2020-02-10 |
1699316117 | Kevin Louis Avitabile | Counselor | 62 Nautical Way, Plymouth, MA 02360-8611 | 2019-10-06 |
1194383323 | Passera Counseling, Pllc | Counselor | 42327 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2019-06-03 |
1316439763 | Aman Patel | Counselor | 200 Carver Rd, Plymouth, MA 02360-5210 | 2018-06-01 |
1255867230 | Sandra Somerville | Counselor | 933 Long Pond Rd, Plymouth, MA 02360-2635 | 2017-05-11 |
1346797438 | Barbara Lydon | Counselor | 118 Long Pond Rd Ste 106, Plymouth, MA 02360-2662 | 2016-09-06 |
1679020234 | Lisa Stringer | Counselor | 22 Jasons Lane, Plymouth, MA 02360 | 2016-09-01 |
1194173948 | William David Hunt IIi | Counselor | 164 Raymond Rd, Plymouth, MA 02360-2357 | 2016-06-01 |
1972959872 | Gregory Dominick Sorensen | Counselor | 18 Hopkins Road, Plymouth, MA 02360-3547 | 2016-05-10 |
Find all providers in PLYMOUTH |
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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.