Wise Mind Therapy Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2003019074 Issued in MO

Legal business name

WISE MIND THERAPY SERVICES, LLC

Practice address

217 E 63Rd St
Kansas City, MO 64113-2224

Phone

(816) 822-0200

Fax

(816) 444-6425

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark Thomas McGonigle, LCSWNPI 1689616559

Title

Manager

Phone

(816) 822-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• Mark Thomas McGonigle, LCSW

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1689616559
  Medicare reassignment NPD Authorized official
• Ada Gillespie Weneck, R.N.,L.P.C.

  • Professional Counselor
  • Kansas City, MO
  • NPI 1467517722
  NPD (past)

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1700041852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132224",
            "telephone_number": "816-822-0200",
            "fax_number": "816-444-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132224",
            "telephone_number": "816-822-0200",
            "fax_number": "816-444-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "MCGONIGLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-822-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2003019074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Michelle Winterer, D.O.
• Maureen A Wirtz, APN
• Caleb Wischkaemper
• Winette Wisdahl, MA, LPC
• Christina Wisdom, PT
• Wise Mind Therapy, LLC
• Barbara Rae Wise, PT, DPT
• Brian Wise Sr., LCSW
• Candice Wise, LMSW
• Christopher L Wise, M.D.

• Community/Behavioral Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.