Wisemind Counseling and Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISEMIND COUNSELING AND CONSULTING, LLC

Practice address

304 E Robinson St Ste 206B
Carmi, IL 62821-1935

Phone

(407) 227-8150

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Jeff Wood, LCSWNPI 1992725972

Title

Owner

Phone

(407) 227-8150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff Wood, LCSW

  • Clinical Social Worker
  • Carmi, IL
  • NPI 1992725972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1336904689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E ROBINSON ST STE 206B",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211935",
            "telephone_number": "407-227-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E ROBINSON ST STE 206B",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211935",
            "telephone_number": "407-227-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMIND COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-227-8150",
        "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": []
}

• White County Rehab and Nursing LLC
• Kerri Leigh Whitley, LPN
• Guy L Williams, LCPC
• Rebecca Wilson, RN
• Paige Winter, OTR/L
• Laurie Jean Wollard, PHARMD
• Jeff Wood, LCSW
• Morgahn Deeann Zedalis, MSW,QMHP

• Clinical Social Worker in Carmi, IL
• Providers in Carmi, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.