Wisteria Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WISTERIA COUNSELING

Practice address

121 N Main St Ste 310
Souderton, PA 18964-1799

Phone

(267) 354-0113

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Wade, MA, LPCNPI 1184921397

Title

Owner

Phone

(267) 386-5432

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Wade, MA, LPC

  • Professional Counselor
  • Souderton, PA
  • NPI 1184921397
  NPD Authorized official
• Rachel Leeann Niedrist, MSS, LCSW

  • Clinical Social Worker
  • Souderton, PA
  • NPI 1366143646
  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1629779145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST STE 310",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641799",
            "telephone_number": "267-354-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST STE 310",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641799",
            "telephone_number": "267-354-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-386-5432",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Weber, DPT
• Christopher Weidner
• Deborah L West, RPH
• Anne Rachel Westrom, M.ED.
• Carina Willette, PTA
• Amanda Paige Youse, ATC
• Christopher Zeledon, D.M.D.
• Tiffany Marie Zerbe, LSW

• Professional Counselor in Souderton, PA
• Providers in Souderton, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.