Organization Active NPI

Wise Minds Counseling PLLC

  • Mental Health Counselor
  • Marion, NC
National Provider Identifier
1386373728
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WISE MINDS COUNSELING PLLC
Practice address
2301 Rutherford Rd
Marion, NC 28752-4894
Phone
(828) 652-1517
Fax
(828) 559-2091
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Angela Horton, LCMHCSNPI 1700031275
Title
Manager
Phone
(828) 652-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2301 Rutherford Rd
Marion, NC 28752-4894

Mailing address

715 Hidden View Loop
Marion, NC 28752-8474
Phone (828) 652-1517

Other identifiers 2

IdentifierTypeStateIssuer
1700031275OtherNCBCBS, UHC, MEDCOST, TRI CARE, AETNA
1356913032OtherNCBCBS, UHC, MEDCOST, TRI CARE, AETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL doxyme.com Direct

National Provider Directory

National Provider Directory

Locations

2301 Rutherford Rd
Marion, NC 28752
Phone (828) 652-1517

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1386373728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HIDDEN VIEW LOOP",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528474",
            "telephone_number": "828-652-1517",
            "fax_number": "828-559-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RUTHERFORD RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524894",
            "telephone_number": "828-652-1517",
            "fax_number": "828-559-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MINDS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-652-1517",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, UHC, MEDCOST, TRI CARE, AETNA",
            "identifier": "1700031275",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, UHC, MEDCOST, TRI CARE, AETNA",
            "identifier": "1356913032",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doxyme.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2301 Rutherford Rd",
            "city": "Marion",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287524894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.