Organization Active NPI

Wise Mind Counseling

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1295500338
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WISE MIND COUNSELING
Practice address
1465 Kelly Johnson Blvd Ste 350
Colorado Springs, CO 80920-3983
Phone
(719) 209-1376
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Karissa Wight, LMFTNPI 1871071704
Title
Owner
Phone
(719) 209-1376

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1465 Kelly Johnson Blvd Ste 350
Colorado Springs, CO 80920-3983

Mailing address

1465 Kelly Johnson Blvd Ste 350
Colorado Springs, CO 80920-3983
Phone (719) 209-1376

National Provider Directory

National Provider Directory

Locations

1465 Kelly Johnson Blvd
Ste 240
Colorado Springs, CO 80920
Phone (719) 209-1376

Practitioners & affiliated clinicians

Practitioners 2

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": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1295500338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD STE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203983",
            "telephone_number": "719-209-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD STE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203983",
            "telephone_number": "719-209-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "WIGHT",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-209-1376",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.