Wisemind Sober Living and Treatment, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

WISEMIND SOBER LIVING AND TREATMENT, LLC

Practice address

6234 W Behrend Dr Apt 3105
Glendale, AZ 85308-6919

Phone

(480) 665-5311

NPI assigned

Sep 30, 2020

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Daniel McCrearyNPI 1528691128

Title

Chief Executive Officer

Phone

(563) 265-7211

Specialties & licenses 3

Addresses

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.

• James McCreary, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1528691128
  Authorized official Same address or phone

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1609483825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089178",
            "telephone_number": "563-265-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 W BEHREND DR APT 3105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086919",
            "telephone_number": "480-665-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMIND SOBER LIVING AND TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "563-265-7211"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Winters
• Timothy Craig Wipprecht, RPH
• Makayla Alice Wirt
• Wise Medical Staffing, Inc.
• Elise Carolyn Wise, NURSE PRACTITIONER
• Barry R Wiss, D.O.
• Emad F Wissa, MD
• Lance Reed Wissman, D.P.M.
• Kyra Rene Witbeck, PA-C
• With Open Arms Homecare Az LLC

• Addiction (Substance Use Disorder) Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.