Organization Active NPI

Wise Bridge Counseling, LLC

  • Counselor
  • Fairlawn, OH
National Provider Identifier
1326655580
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WISE BRIDGE COUNSELING, LLC
Practice address
3090 W Market St Ste 124-6
Fairlawn, OH 44333-3608
Phone
(330) 338-6677
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Danielle Sheniece Rice, LPCC-S
Title
Owner
Phone
(330) 338-6677

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

3090 W Market St Ste 124-6
Fairlawn, OH 44333-3608

Mailing address

1913 Auten Dr
Akron, OH 44320-1103
Phone (330) 962-7724

National Provider Directory

National Provider Directory

Locations

230 White Pond Dr
Ste D
Akron, OH 44313

3090 W Market St
Ste 1246
Fairlawn, OH 44333
Phone (216) 409-2418

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1326655580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 AUTEN DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201103",
            "telephone_number": "330-962-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 W MARKET ST STE 124-6",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333608",
            "telephone_number": "330-338-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE BRIDGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "SHENIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-338-6677",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.