Organization Active NPI

Wise Mind Psychotherapy, LLC

  • Mental Health Counselor
  • Hoover, AL
National Provider Identifier
1750166963
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WISE MIND PSYCHOTHERAPY, LLC
Practice address
309 Three Sons CT # 309
Hoover, AL 35226-2953
Phone
(205) 529-0867
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Jeffrey Lamar EilandNPI 1265120646
Title
Ceo
Phone
(205) 529-0867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

309 Three Sons CT # 309
Hoover, AL 35226-2953

Mailing address

309 Three Sons CT # 309
Hoover, AL 35226-2953
Phone (205) 529-0867

Other names 1

  • Wise Mind Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1750166963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 THREE SONS CT # 309",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262953",
            "telephone_number": "205-529-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 THREE SONS CT # 309",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262953",
            "telephone_number": "205-529-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "EILAND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-529-0867"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Mind Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.