Jodi Elaine Wilson, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60049887 Issued in WA

Practice address

719 Jadwin Ave
Richland, WA 99352-4217

Phone

(509) 688-7967

NPI assigned

Jul 26, 2006

Last updated

May 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1821012808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N ROAD 60",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012175",
            "telephone_number": "509-688-7967",
            "fax_number": "509-380-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524217",
            "telephone_number": "509-688-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JODI",
        "middle_name": "ELAINE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60049887",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004014916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Wilson
• Brandon Nicholas Wilson, DPT
• Bruce Edward Wilson, M.D.
• Dale G Wilson, M.D.
• Jeremy L Wilson, CRNA
• Ryan Alan Wilson, DPT
• Pauline Wiltz, DO
• Jilene M Winther, PHARMD
• Kendell Wintle, CBT
• Elizabeth Anne Wise, R.N.

• Mental Health Counselor in Richland, WA
• Providers in Richland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.