Emily Wisti

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

826 Delaware Ave
Fountain Hill, PA 18015-1174

Phone

(610) 419-3101

NPI assigned

Sep 6, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ashley a Borgatta LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Lawn, PA
  • NPI 1356996664
  Medicare reassignment NPD
• Pennsylvania Counseling Services Inc.

  • Counselor
  • Lebanon, PA
  • NPI 1669474979
  Medicare reassignment NPD
• Pennsylvania Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, PA
  • NPI 1366534620

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1568945491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151179",
            "telephone_number": "610-419-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151174",
            "telephone_number": "610-419-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTI",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigel Wang
• Kayle Warren, D.O.
• Christopher Wayock, M.D.
• Rebecca Wendahl, BSN, RN
• Jody L Williams, CRNP
• Fawn N Wolfe
• Soun L Wong, DMD
• Nicole Denise Gray Yoder, DO
• Rhea Yoder, M.D.
• Thomas Bruce Zanders, D.O., FACP

• Addiction (Substance Use Disorder) Counselor in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.