KRISTEN WILSON


Address: 9409 N Haggerty Rd, Plymouth, MI 48170-4696
Phone: 7345593540

KRISTEN WILSON (NPI# 1902419161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 6401014311 MI Behavioral Health & Social Service Providers

Other Providers KRISTEN WILSON

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

Office Location

Street Address 9409 N HAGGERTY RD
City PLYMOUTH
State MI
Zip Code 48170-4696

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PLYMOUTH
Zip Code 48170

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Dataset Information

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.

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