Active NPI
Wisdom Counseling and Consultation
- Counselor
- Salem, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richelle Wisdom
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490028330 | Medicaid | MO |
Other names 1
- Wisdom Counseling and Consultation
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | richelle.wcc@gmail.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Waynesville, MO
- NPI 1639535818
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.