Vonetta Wise, CDCA II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

170540 Issued in OH

Practice address

47 E Hollister St Ste 102
Cincinnati, OH 45219-1840

Phone

(513) 258-0318

Fax

(513) 258-0318

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1447811468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113330",
            "telephone_number": "859-360-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E HOLLISTER ST STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191840",
            "telephone_number": "513-258-0318",
            "fax_number": "513-258-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "VONETTA",
        "credential": "CDCA II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "170540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charnika M Wise
• Kaitlyn Janae McCollum Wise, MD
• Lauren Wise, R.N.
• Maria Lynn Wise, LCDCIII
• Rachelle Ann Wise
• Emily Wiseman, GENETIC COUNSELOR
• Jacob Michael Wiseman, PHARMD
• Lauren Wiseman, LCDCIII
• Meagan Wiseman, PHARMD
• Rebecca Marie Wiseman, PTA

• Addiction (Substance Use Disorder) Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.