Individual provider Active NPI

Lisa F Wise, LPC

  • Professional Counselor
  • North Richland Hills, TX
National Provider Identifier
1780464115
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65739 Issued in TX
Practice address
5424 Rufe Snow Dr Ste 304
North Richland Hills, TX 76180-6686
Phone
(817) 576-2447
Fax
(844) 273-0993
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65739 TX Primary

Addresses

Primary practice location

5424 Rufe Snow Dr Ste 304
North Richland Hills, TX 76180-6686

Mailing address

5424 Rufe Snow Dr Ste 304
North Richland Hills, TX 76180-6686
Phone (817) 320-7275

Other names 1

  • Ms. Lisa F Wise Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325003254 TX Practitioner - Mental Health Counselor 0244715431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5424 Rufe Snow Dr
Suite 304
North Richland Hills, TX 76180-6635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65739TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Knight NHCC of NRH LLC Professional CurrentSince Oct 8, 2023 Accepting new patients

Locations

5424 Rufe Snow Dr
Ste 304
North Richland Hills, TX 76180
Phone (817) 576-2447

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1780464115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR STE 304",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806686",
            "telephone_number": "817-320-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR STE 304",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806686",
            "telephone_number": "817-576-2447",
            "fax_number": "844-273-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "LISA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WISE",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "LOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.