Alfred Bernard Wishart, LPC, LCDC, MAC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71266 Issued in TX

Practice address

5507 Reiger Ave
Dallas, TX 75214-5041

Phone

(214) 923-5093

NPI assigned

Jun 13, 2015

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1639550874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 REIGER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752145041",
            "telephone_number": "214-923-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 REIGER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752145041",
            "telephone_number": "214-923-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHART",
        "first_name": "ALFRED",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "LPC, LCDC, MAC, CRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71266",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maren E Wiseheart, ARNP
• April Wiseman, PA-C
• Lindsay Brooke Wiseman, MD
• Diane Elizabeth Wisenbaker-Williams, LCSW
• Wisewell Health, PLLC
• Jason Randall Wishin Sr., PT
• Michelle L Wisniewski, AGACNP
• Kelley Wissinger, R.D.
• Kylie Witanra
• Katherine Nicole Witcher, MA, LMFT-ASSOCIATE

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.