Wise Path Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05656600 Issued in NJ

Legal business name

WISE PATH COUNSELING

Practice address

11 W Ormond Ave
Ste 200-D
Cherry Hill, NJ 08002-3054

Phone

(385) 313-0680

NPI assigned

Nov 24, 2015

Organization subpart

No

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

Authorized official

Name

Stacey Jane Nichols, LCSW

Title

Owner/Counselor

Phone

(385) 313-0680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey J Nichols Ostebo, MSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1194079103
  NPD (past)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1770957086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W ORMOND AVE",
            "address_2": "STE 200-D",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023054",
            "telephone_number": "385-313-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W ORMOND AVE",
            "address_2": "STE 200-D",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023054",
            "telephone_number": "385-313-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PATH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "385-313-0680",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05656600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loriann Winner, CRNA
• Alison Winnicki, OT
• Winnjam2 Dba Comfort Keepers of Cherry Hill
• Julie E Winterborne, PT
• Sandra M Winters, BSN MSN APN C
• Megan Wiseman
• Ryan S Wissner, OTR/L
• Jamyra Janel Witherspoon, MSW, LSW
• Arielle Woerner
• Erica Kate Wojcik, MA, LAC

• Community/Behavioral Health Agency in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.