Active NPI
Misty M Wisenberger, CDCA
- Counselor
- South Point, OH
National Provider Identifier
1659967412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 49 Township Road 365
South Point, OH 45680-9409 - Phone
- (740) 451-0221
- NPI assigned
- Dec 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
49 Township Road 365
South Point, OH 45680-9409
Mailing address
49 Township Road 365
South Point, OH 45680-9409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1659967412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 TOWNSHIP ROAD 365",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456809409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 TOWNSHIP ROAD 365",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456809409",
"telephone_number": "740-451-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISENBERGER",
"first_name": "MISTY",
"middle_name": "M",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Point, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.