JAMIE WILSON LLP NPI 1770913832

NPI Information

NPI: 1770913832
Provider Name: JAMIE WILSON, LLP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5001 PLAINFIELD AVE NE STE B
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 600-1667
Get Directions

Jamie Wilson, LLP is a mental health counselor in Grand Rapids, MI. Jamie Wilson, LLP NPI is 1770913832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5001 PLAINFIELD AVE NE STE B
GRAND RAPIDS, MI
ZIP 49525-050
Phone: (616) 600-1667

The enumeration date for this NPI number is 11/26/2013 and was last updated on 3/1/2019.

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	101YM0800X	Counselor	Mental Health	6301015678	MICHIGAN	Yes
2	103T00000X	Psychologist		6301015678	MICHIGAN	No
3	103TA0700X	Psychologist	Adult Development & Aging	6301015678	MICHIGAN	No
4	103TC1900X	Psychologist	Counseling	6301015678	MICHIGAN	No

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	1770913832	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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