Active NPI
Patrick Joseph Wisor, LGPC
- Professional Counselor
- Catonsville, MD
National Provider Identifier
1245096957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP14818
- Practice address
- 516 N Rolling Rd
Catonsville, MD 21228-4140 - Phone
- (443) 846-0404
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP14818 | MD | Primary |
Addresses
Primary practice location
516 N Rolling Rd
Catonsville, MD 21228-4140
Mailing address
4686 S Leisure CT
Ellicott City, MD 21043-6424
Phone (240) 277-4913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14818 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1245096957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4686 S LEISURE CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436424",
"telephone_number": "240-277-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284140",
"telephone_number": "443-846-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISOR",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP14818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.