Organization Active NPI

Wisdom Counseling and Consultation

  • Counselor
  • Salem, MO
National Provider Identifier
1568009595
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WISDOM COUNSELING AND CONSULTATION
Doing business as
Wisdom Counseling and Consultation
Practice address
119 W 4TH St
Salem, MO 65560-1255
Phone
(573) 259-7392
NPI assigned
Dec 10, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Richelle WisdomNPI 1639535818
Title
Counselor
Phone
(573) 259-7392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

119 W 4TH St
Salem, MO 65560-1255

Mailing address

117 W 4TH St
Salem, MO 65560-1255
Phone (573) 259-7392

Other identifiers 1

IdentifierTypeStateIssuer
490028330MedicaidMO

Other names 1

  • Wisdom Counseling and Consultation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL richelle.wcc@gmail.com

National Provider Directory

National Provider Directory

Locations

117 W 4th St
Salem, MO 65560
Phone (573) 729-4114

119 W 4th St
Salem, MO 65560
Phone (573) 247-6086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1568009595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 4TH ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601255",
            "telephone_number": "573-259-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 4TH ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601255",
            "telephone_number": "573-259-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "573-259-7392"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490028330",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "richelle.wcc@gmail.com",
            "affiliation": "N",
            "address_1": "119 W 4th St",
            "city": "Salem",
            "state": "MO",
            "country_code": "US",
            "postal_code": "655601255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wisdom Counseling and Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.