William H Wisener IV, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701016179 Issued in VA

Practice address

113 Cumberland Road
Cedar Bluff, VA 24609-0810

Phone

(276) 964-6702

Fax

(276) 964-0292

NPI assigned

May 21, 2026

Sex

Male

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

Practice roles

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.

• Cumberland Mountain Community Services

  • Community/Behavioral Health Agency
  • Cedar Bluff, VA
  • NPI 1235125055
  NPD (past)

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1528998564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CUMBERLAND RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246091137",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CUMBERLAND ROAD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090810",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 ROGERS STREET",
            "address_purpose": "LOCATION",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660486",
            "country_code": "US",
            "telephone_number": "276-889-3785",
            "fax_number": "276-889-2842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISENER",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_suffix": "IV",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701016179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Diane White, LPC, LSATP, CSAC
• Timothy Eugene White, LPC
• Tammy Darlene Whited, BS
• Jimmy D Widener, LPC
• Chris Williams, ATC

• Professional Counselor in Cedar Bluff, VA
• Providers in Cedar Bluff, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.