Parker Harrison Wise, MA, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW.0009924767 Issued in CO

Practice address

4790 Table Mesa Dr Ste 108
Boulder, CO 80305-5660

Phone

(720) 912-2044

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Wise Counseling

  • Adult Mental Health Clinic/Center
  • Boulder, CO
  • NPI 1518748532
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1154101467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E FLATIRON CROSSING DR UNIT 1173",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218118",
            "telephone_number": "443-480-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 TABLE MESA DR STE 108",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055660",
            "telephone_number": "720-912-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "PARKER",
        "middle_name": "HARRISON",
        "name_prefix": "Ms.",
        "credential": "MA, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009924767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn D Winters
• Wisdom Health PC
• Wise Counseling
• David Wise
• Katie A Wise, CD, ERYT, CYPT
• Joelle Wisler, MSPT
• Douglas Merrill Wisoff, PHYSICAL THERAPIST
• Carol R Wissolik, RP
• Michelle Withington, DC
• Donna L Witt

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.