Active NPI
Allyson Wise, LCMHC
- Mental Health Counselor
- Morrisville, VT
National Provider Identifier
1609388057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0087759
- Practice address
- 200 Park St
Morrisville, VT 05661-8659 - Phone
- (802) 793-7955
- NPI assigned
- Oct 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0087759 | VT | Primary |
Addresses
Primary practice location
200 Park St
Morrisville, VT 05661-8659
Mailing address
284 Ruby Raymond Rd
Waterbury Center, VT 05677-8081
Phone (802) 793-7955
Other practice location 1
579 S Barre Rd
Barre, VT 05641-8107
Phone (802) 476-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2024 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0087759 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609388057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 RUBY RAYMOND RD",
"city": "WATERBURY CENTER",
"state": "VT",
"postal_code": "056778081",
"telephone_number": "802-793-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PARK ST",
"city": "MORRISVILLE",
"state": "VT",
"postal_code": "056618659",
"telephone_number": "802-793-7955"
}
],
"practiceLocations": [
{
"address_1": "579 S Barre Rd",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056418107",
"country_code": "US",
"telephone_number": "802-476-1480",
"fax_number": "802-479-4095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "ALLYSON",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0087759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.