Yancun Wisseh, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-22835 Issued in AZ

Practice address

236 Spring Valley Road
Darby, PA 19023

Phone

(215) 868-8293

NPI assigned

Jul 12, 2017

Reactivated

Nov 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, PA, NJ, WA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redeem Caring Hands LLC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1770450827
  Medicare reassignment NPD Authorized official
• Psychiatry of Texas PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  NV, WA

  Medicare reassignment Care Compare group
• Redeem Caring Hands

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1033900105

  Professional

  NPD Authorized official
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  NV

  Medicare reassignment
• Psychplus Medical Associates of New Jersey, PLLC

  • Family Medicine Physician
  • East Brunswick, NJ
  • NPI 1780437301
  NPD
• Redeem American Home Care LLC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1952064693
  NPD (past)
• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1346762267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SPRING VALLEY RD",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231420",
            "telephone_number": "215-868-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SPRING VALLEY ROAD",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "19023",
            "telephone_number": "215-868-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 S Power Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958480",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 Isbell Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094982",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISSEH",
        "first_name": "YANCUN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "deactivation_date": "2017-12-05",
        "reactivation_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008194",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• William J Weir, CRNA
• Ellen Weiss
• William M Urbas DPM PC
• Nadi D Wisseh
• Gregory Sesh Withers, DO
• Fikadu Teshale Worede
• Samantha Clare Wu, MD
• Ashima Yadav
• Katherine Elizabeth Yaffe, M.D.

• Professional Counselor in Darby, PA
• Providers in Darby, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.