DR. JASON DEAN WILKINSON LPC MA LLP NPI 1316071442

NPI Information

NPI: 1316071442
Provider Name: DR. JASON DEAN WILKINSON, LPC, MA LLP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Organization: UNIVERSITY PHYSICIAN GROUP

PECOS Registration: Yes

Address:
3901 CHRYSLER DR STE 1A
DETROIT, MI
ZIP 48201
Phone: (313) 577-1396
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DR. Jason Dean Wilkinson, LPC, MA LLP is a professional counselor in Detroit, MI with 12 years of experience. DR. Jason Dean Wilkinson, LPC, MA LLP NPI is 1316071442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3901 CHRYSLER DR STE 1A
DETROIT, MI
ZIP 48201-167
Phone: (313) 577-1396

The NPI 1316071442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 3/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	6401007299	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401007299	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213119549	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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