Organization Active NPI

Wise Mind Counseling Services, LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1265211270
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WISE MIND COUNSELING SERVICES, LLC
Practice address
3913 Shadow Pointe LN
Indianapolis, IN 46254-3752
Phone
(317) 331-0668
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Trina RansomNPI 1447761994
Title
Owner
Phone
(317) 331-0668

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3913 Shadow Pointe LN
Indianapolis, IN 46254-3752

Mailing address

PO Box 53833
Indianapolis, IN 46253
Phone (317) 331-0668

Other names 1

  • Wise Mind Counseling Services, LLC Former legal business name

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.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1265211270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53833",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46253",
            "telephone_number": "317-331-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 SHADOW POINTE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543752",
            "telephone_number": "317-331-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-331-0668"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Mind Counseling Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.