Wise Mind Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISE MIND THERAPY, LLC

Practice address

8301 State Line Rd Ste 205
Kansas City, MO 64114-2019

Phone

(913) 608-4312

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Marissa Kile, LSCSWNPI 1730693292

Title

Owner

Phone

(913) 608-4312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Kile, LMSW

  • Social Worker
  • Kansas City, MO
  • NPI 1730693292
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1114643012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 STATE LINE RD STE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142019",
            "telephone_number": "913-608-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 STATE LINE RD STE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142019",
            "telephone_number": "913-608-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KILE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-608-4312",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen A Wirtz, APN
• Caleb Wischkaemper
• Winette Wisdahl, MA, LPC
• Christina Wisdom, PT
• Wise Mind Therapy Services, LLC
• Barbara Rae Wise, PT, DPT
• Brian Wise Sr., LCSW
• Candice Wise, LMSW
• Christopher L Wise, M.D.
• Kaitlyn Wise, PHARMD

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

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