Wise Mind, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WISE MIND, LLC

Practice address

2814 S Grand Blvd
Spokane, WA 99203-2528

Phone

(509) 279-4864

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Kris Norton

Title

Credentialing Manager

Phone

(406) 544-3810

Specialties & licenses 1

Addresses

Other names 1

• Wise Mind Doing business as

Locations

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1295375889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032528",
            "telephone_number": "509-279-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032528",
            "telephone_number": "509-279-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "406-544-3810"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Samuel Wirthlin, M.D.
• Linda Wirtz, MA
• Sumerlyn Wirtz
• Christine Louise Wiscombe, FNP-C
• Wise Mind Academy LLC
• Wise Mindbody Institute PLLC
• Wise Wellness, PLLC
• William Wise-Gendusa
• Kassandra Wise
• Ramona Wise

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.