NPIMap

Individual provider Active NPI

Katherine Sue Wisehart, MAC

  • Counselor
  • Monticello, MO
National Provider Identifier
1114270451
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
105 East Lafayette
Monticello, MO 63457
Phone
(573) 767-1212
Fax
(573) 767-1212
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MO Primary

Addresses

Primary practice location

105 East Lafayette
Monticello, MO 63457

Mailing address

22110 State Highway 6
Ewing, MO 63440-2629
Phone (573) 767-1212

Other practice location 1

Truman Counseling Center
100 E. Normal Ave.
Kirksville, MO 63501
Phone (660) 785-4014

Other practice location 2

300 E. Line Street
McKinney Hall
Kirksville, MO 63501
Phone (660) 785-4014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402001771 MO Practitioner - Mental Health Counselor 7618315227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

100 E Normal Ave
Kirksville, MO 63501-4200
Phone (660) 785-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Feb 25, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Grow Healthcare Group PA CurrentSince Oct 7, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Feb 25, 2024 Accepting new patients

Locations

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

100 E Normal Ave
Kirksville, MO 63501
Phone (660) 785-4014

105 E Lafayette St
Monticello, MO 63457
Phone (573) 767-1212

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1114270451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 STATE HIGHWAY 6",
            "city": "EWING",
            "state": "MO",
            "postal_code": "634402629",
            "telephone_number": "573-767-1212",
            "fax_number": "573-767-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EAST LAFAYETTE",
            "city": "MONTICELLO",
            "state": "MO",
            "postal_code": "63457",
            "telephone_number": "573-767-1212",
            "fax_number": "573-767-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Truman Counseling Center",
            "address_2": "100 E. Normal Ave.",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "660-785-4014",
            "fax_number": "660-785-7444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E. Line Street",
            "address_2": "McKinney Hall",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "660-785-4014",
            "fax_number": "660-785-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEHART",
        "first_name": "KATHERINE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MO

Sources for this page

Verify at the official NPI Registry.