Wisemind Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WISEMIND WELLNESS, LLC

Practice address

115 Cuthbert St
Philadelphia, PA 19106-2295

Phone

(267) 927-8306

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Keates May, LPCNPI 1013314178

Title

Owner

Phone

(610) 247-2475

Specialties & licenses 2

Addresses

Practitioners 3

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.

• Katherine Keates May, MS, NCC, LPC

  • Mental Health Counselor
  • Flourtown, PA
  • NPI 1013314178
  NPD Authorized official
• Lauren Wolcott

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
  • NPI 1508588187
  NPD
• Heather Nicole Zukin, MSS

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1285960864
  NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1174216105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DOGWOOD DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190026111",
            "telephone_number": "610-247-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CUTHBERT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062295",
            "telephone_number": "267-927-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMIND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "KEATES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-247-2475",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Wise, CRNP
• Sabrina Wise
• Stephen Wise, R.PH
• Trina Wisecup, D.O
• Kenneth Wiseman, DO
• Wiseminds Healthcare Network
• Wiser Counseling, LLC
• Christopher J Wisgo, M.D.
• Elliot James Wish, MD
• Kayla Wishall, M.D.

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.