Wisdom Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2014018308 Issued in MO

Legal business name

WISDOM THERAPY LLC

Doing business as

Stepping Stones Counseling Center

Practice address

201 N Main St
Salem, MO 65560-1423

Phone

(573) 739-1289

Fax

(573) 739-1165

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tasha Lynn Wisdom, LCSW

Title

Administrator/LCSW

Phone

(573) 247-2025

Specialties & licenses 2

Addresses

Other names 1

• Stepping Stones Counseling Center Doing business as

Locations

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1386193654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 COUNTY ROAD 734",
            "city": "CENTERVILLE",
            "state": "MO",
            "postal_code": "636338309",
            "telephone_number": "573-247-2025",
            "fax_number": "573-689-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601423",
            "telephone_number": "573-739-1289",
            "fax_number": "573-739-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR/LCSW",
        "authorized_official_telephone_number": "573-247-2025",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005024364",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014018308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Stones Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily A West, RN
• Dennis Lee White, OD
• Carrie Lynn Wilber, M.S.,CCC-SLP
• Jamie Johnston Wilson, PTA
• Wisdom Counseling and Consultation
• Teel Ryan Wisdom, PHARMD
• Lathan Dean Wise
• Dawson Tate Wynn, ATS

• Clinical Social Worker in Salem, MO
• Providers in Salem, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.