Katherine M Wismer, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

102441 Issued in CA

Practice address

1041 E Yorba Linda Blvd Ste 202
Placentia, CA 92870

Phone

(800) 701-0937

Fax

(800) 701-0937

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1245394774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 202",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703760",
            "telephone_number": "800-701-0937",
            "fax_number": "800-701-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 202",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "800-701-0937",
            "fax_number": "800-701-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Alton Pkwy Ste 5-A751",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926043717",
            "country_code": "US",
            "telephone_number": "909-855-8371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISMER",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis James Wilson
• Kristen R Wilson, MS, CCC-SLP
• Monica Symone Wilson
• Neiah Lee Wilson
• Stephanie Anna Wilson, SLPA
• Carissa Michelle Witham, LCSW
• Lauren Witman, OTR/L
• Bethany Wong
• Jessalyn Lianne Garling Wong, D.O.
• Kin Cho Wong, DDS

• Mental Health Counselor in Placentia, CA
• Providers in Placentia, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.