Wisemind Counseling & Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WISEMIND COUNSELING & WELLNESS LLC

Practice address

5 Summerfield Dr
Conway, AR 72034-3305

Phone

(501) 733-4240

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Samantha Lovell, LPC

Title

Owner

Phone

(501) 733-4240

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1619543048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMERFIELD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343305",
            "telephone_number": "501-733-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMERFIELD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343305",
            "telephone_number": "501-733-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMIND COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-733-4240",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Conway",
            "affiliation": "N",
            "address_1": "5 Summerfield Dr",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720343305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kiara Winkler
• John Wirges
• Brandi Wiseman
• Troy D Wiseman
• Wisemans Elite Transportation, LLC
• Van Witherspoon, MHPP
• Amy Wittenburg, M.S., CCC-SLP
• Jashaunna Wofford, RECOVERY ASSISTANT
• Christi Wohner, RECOVERY ASSISTANT
• Jadyn Womack

• Professional Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.