Individual provider Active NPI

Corrine Wise, LPC

  • Professional Counselor
  • Greenville, PA
National Provider Identifier
1427874353
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017942 Issued in PA
Practice address
39 Hadley Rd Ste 100
Greenville, PA 16125-1239
Phone
(814) 550-4969
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC017942 PA Primary

Addresses

Primary practice location

39 Hadley Rd Ste 100
Greenville, PA 16125-1239

Mailing address

10370 Thomas Rd
Atlantic, PA 16111-1344
Phone (814) 853-2358

Other practice location 1

10370 Thomas Rd
Atlantic, PA 16111-1344
Phone (145) 504-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017942PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Counsel Christian Counseling Professional CurrentSince Dec 15, 2024 Accepting new patients

Locations

39 Hadley Rd
Ste 100
Greenville, PA 16125
Phone (814) 550-4969

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1427874353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 THOMAS RD",
            "city": "ATLANTIC",
            "state": "PA",
            "postal_code": "161111344",
            "telephone_number": "814-853-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HADLEY RD STE 100",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251239",
            "telephone_number": "814-550-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10370 Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Atlantic",
            "state": "PA",
            "postal_code": "161111344",
            "country_code": "US",
            "telephone_number": "145-504-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "CORRINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

Verify at the official NPI Registry.