Organization Active NPI

Wise Mind, LLC

  • Mental Health Counselor
  • Mystic, CT
National Provider Identifier
1265196737
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WISE MIND, LLC
Practice address
12 Roosevelt Ave Ste 203
Mystic, CT 06355-2842
Phone
(860) 249-0347
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Oraide Mariana Batista, LPCNPI 1811312150
Title
Owner
Phone
(860) 249-0347

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

12 Roosevelt Ave Ste 203
Mystic, CT 06355-2842

Mailing address

12 Roosevelt Ave Ste 203
Mystic, CT 06355-2842
Phone (860) 249-0347

National Provider Directory

National Provider Directory

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": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1265196737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE STE 203",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552842",
            "telephone_number": "860-249-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE STE 203",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552842",
            "telephone_number": "860-249-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "BATISTA",
        "authorized_official_first_name": "ORAIDE",
        "authorized_official_middle_name": "MARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-249-0347",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.