Jenny Wilhelm, A.S.W.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ASW68898 Issued in CA

Practice address

3300 Glenwood St
Eureka, CA 95501-3463

Phone

(707) 444-8293

NPI assigned

Dec 9, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/eef7bdb7-cd7b-4ec1-b846-cf9ec1db80c8/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Changing Tides Family Services

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1336453505
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1568837003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GLENWOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013463",
            "telephone_number": "707-444-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GLENWOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013463",
            "telephone_number": "707-444-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "JENNY",
        "credential": "A.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "ASW68898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wilcox-Falk, M.D.
• Eric Forest Wilcox, M.A. PSYCHOLOGY
• John Elbert Wilcox
• Rachel Irene Wild
• Wildfern Doula LLC (Havilah Deaton)
• Xiuyan Zhang Willard, RN
• Shawna Willett, LCSW
• Samantha Summer Williams-Gray, BA
• Amanda-Rae Williams
• Christopher K Williams, M.D.

• Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.