Victoria Wisdom-Imbach, PHD M, NCC, LPN, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5934 Issued in CO

Practice address

1551 Larimer St Apt 2406
Denver, CO 80202-1637

Phone

(303) 480-5755

NPI assigned

Feb 10, 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Coordinated Counseling for Children

  • Professional Counselor
  • Denver, CO
  • NPI 1134897218
  NPD Authorized official
• Coordinated Counseling for Children

  • Professional Counselor
  • Salem, OR
  • NPI 1295251437
  NPD Authorized official

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1033441399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 LARIMER ST APT 2406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021637",
            "telephone_number": "303-480-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 LARIMER ST APT 2406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021637",
            "telephone_number": "303-480-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM-IMBACH",
        "first_name": "VICTORIA",
        "credential": "PHD M, NCC, LPN, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauran Wirfs, DO
• Patiphan Wiriyasombat
• Kristie Wirth
• Wisconsin I.V. Affiliates, LLC
• Wisconsin Kidney Care, S.C.
• Natalie Wisdom
• Amy Rene Wise, RN
• Bradley William Wise
• David Dale Wise, PT
• Jason Wise, PHARMD

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.