Kenna Marie Wise, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3631 Issued in OK

Practice address

2208 Club House Dr
Weatherford, OK 73096-6200

Phone

(580) 373-7609

NPI assigned

Feb 6, 2010

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

State licenses

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 and National Provider Directory roles.

• Beacon Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawton, OK
  • NPI 1437923141
  NPD

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1023340643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 CLUB HOUSE DR",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730966200",
            "telephone_number": "580-373-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 CLUB HOUSE DR",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730966200",
            "telephone_number": "580-373-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "KENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-06",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Mechell Williams
• Chelsea Williamson
• Matthew Dwight Wilson
• Abigail Wingard
• Joshua Lee Wise
• Michael W Wolff, PH.D.
• Jason Wood
• Leah Wright
• Jessica Wyatt
• Micaela Yanez

• Professional Counselor in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.