Wise Soul LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WISE SOUL LLC

Practice address

6405 E Butler Ave
Fresno, CA 93727-5709

Phone

(559) 759-2790

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Felipe Mercado, EDD, MSW, PPSC, ASWNPI 1720825342

Title

Ceo/Lead Consultant/Clinician

Phone

(559) 759-2790

Specialties & licenses 3

Addresses

Practitioners 1

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

• Felipe Mercado, PPSC, ASW, ADMIN

  • School Social Worker
  • Fresno, CA
  • NPI 1720825342
  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1346087756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 E BUTLER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275709",
            "telephone_number": "559-759-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 E BUTLER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275709",
            "telephone_number": "559-759-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "CEO/LEAD CONSULTANT/CLINICIAN",
        "authorized_official_telephone_number": "559-759-2790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, MSW, PPSC, ASW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Winther
• Georgette George Winton, PHARMD
• James Michael Winton, PHARM.D.
• Max Wirjo, MD
• Wisdom Teeth Away Incorporated Dental Practice of Juan Jose Alzate D.D
• Breana Wise
• Dina Pauline Wise, LMFT
• Sherri Wise
• Thomas Wise
• Irma L Wisener, NP

• Community/Behavioral Health Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.