DR. JEFF RANDALL WILSON NPI 1598906935

NPI Information

  • NPI: 1598906935
  • Provider Name: DR. JEFF RANDALL WILSON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 141 W 46TH AVE
    GARY, IN
    ZIP 46408
  • Phone: (219) 614-0793

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NPI Details

DR. Jeff Randall Wilson is a counselor in Gary, IN. The provider is 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. DR. Jeff Randall Wilson NPI is 1598906935. 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:

141 W 46TH AVE
GARY, IN
ZIP 46408-905
Phone: (219) 614-0793

The enumeration date for this NPI number is 3/16/2009 and was last updated on 3/16/2009.

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
1101YP1600XCounselorPastoralNo
2101Y00000XCounselorYes

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: 3/30/2025

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