Organization Active NPI

Wise Mind Therapeutic Services LLC

  • Clinical Social Worker
  • West Reading, PA
National Provider Identifier
1275239592
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WISE MIND THERAPEUTIC SERVICES LLC
Practice address
621 Franklin St
West Reading, PA 19611-1027
Phone
(484) 665-9349
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Diane Yvonne Lillington, LCSWNPI 1356724603
Title
Owner
Phone
(484) 665-9349

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

621 Franklin St
West Reading, PA 19611-1027

Mailing address

621 Franklin St
West Reading, PA 19611-1027
Phone (484) 665-9349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230330000498 PA Part B Supplier - Clinic/Group Practice 6901270164 Receives reassigned benefits from 1 practitioner
Practice locations: West Reading, PA

National Provider Directory

National Provider Directory

Locations

223 Peach St
Rear
Leesport, PA 19533

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1275239592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 FRANKLIN ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111027",
            "telephone_number": "484-665-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 FRANKLIN ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111027",
            "telephone_number": "484-665-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "LILLINGTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-665-9349",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.