Organization Active NPI

Wise Counseling

  • Adult Mental Health Clinic/Center
  • Boulder, CO
National Provider Identifier
1518748532
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WISE COUNSELING
Practice address
4790 Table Mesa Dr Ste 108
Boulder, CO 80305-5660
Phone
(720) 263-0334
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Ms. Parker Harrison Wise, MA, LSWNPI 1154101467
Title
Owner
Phone
(443) 480-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4790 Table Mesa Dr Ste 108
Boulder, CO 80305-5660

Mailing address

270 E Flatiron Crossing Dr Unit 1173
Broomfield, CO 80021-8118
Phone (720) 912-2044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1518748532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E FLATIRON CROSSING DR UNIT 1173",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218118",
            "telephone_number": "720-912-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 TABLE MESA DR STE 108",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055660",
            "telephone_number": "720-263-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-480-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.