Jada Harris Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5265 W Pierson Rd
Flushing, MI 48433-2461

Phone

(810) 715-9029

NPI assigned

Sep 7, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• J E Laird 1 LLC

  • Counselor
  • Flushing, MI
  • NPI 1861035461

  Single Specialty

  NPD

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1699496737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332461",
            "telephone_number": "810-715-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332461",
            "telephone_number": "810-715-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS WILSON",
        "first_name": "JADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chimere Hamilton-Grable
• Diamond Hamilton
• Natalie Michelle Hamilton
• Kaylee Harless
• Sherecz Harrington
• Gregriana Harris
• Mariah Harris
• Charlene Haskins
• Megan Rose Hatchett
• Janna Sue Hawley, RN

• Mental Health Counselor in Flushing, MI
• Providers in Flushing, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.