Wise Mind Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WISE MIND THERAPY LLC

Practice address

2503 E Allegheny Ave
Philadelphia, PA 19134

Phone

(267) 270-5353

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Nina Diaconescu, LPCNPI 1154188225

Title

Owner/ Founder/ Therapist

Phone

(267) 270-5353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nina Alexis Diaconescu

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1154188225
  NPD Authorized official

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1396470399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "BRYN ATHYN",
            "state": "PA",
            "postal_code": "190090701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "267-270-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "DIACONESCU",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER/ FOUNDER/ THERAPIST",
        "authorized_official_telephone_number": "267-270-5353",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Bayliss Wirts, M.D.
• Stephanie Wirtshafter, DO
• Tia Rose Wisdo
• Wise Home Care With Compassion (Wise Home Care)
• Wise Homecare Inc (Synergy Homecare of Philadelphia)
• Alena Wise
• Aniya Wise
• Cayley Nichole Wise, LSW
• Elena Wise, MA, NCC
• Jacqueleen Wise, CRNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.