Organization Active NPI

Wise Mind Academy LLC

Doing business as Wise Mind Academy

  • Adult Mental Health Clinic/Center
  • Spokane, WA
National Provider Identifier
1144961640
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WISE MIND ACADEMY LLC
Doing business as
Wise Mind Academy
Practice address
901 N Monroe St Ste 356
Spokane, WA 99201-2158
Phone
(509) 542-7026
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Miss Lori Obbie, LMHCNPI 1154526200
Title
Co-Owner
Phone
(509) 505-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

901 N Monroe St Ste 356
Spokane, WA 99201-2158

Mailing address

5428 S Regal St Unit 30208
Spokane, WA 99223-8042
Phone (509) 505-0655

Other names 1

  • Wise Mind Academy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WiseMindAcademy.org Other

National Provider Directory

National Provider Directory

Locations

5428 S Regal St
Unit 30208
Spokane, WA 99223

901 N Monroe St
Ste 356
Spokane, WA 99201
Phone (509) 542-7026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1144961640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 S REGAL ST UNIT 30208",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992238042",
            "telephone_number": "509-505-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MONROE ST STE 356",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012158",
            "telephone_number": "509-542-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "OBBIE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "509-505-0655",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WiseMindAcademy.org",
            "affiliation": "N",
            "endpointDescription": "Web Site",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact information",
            "address_1": "901 N Monroe St Ste 356",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992012158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wise Mind Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.