Georgeanne Wisen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51784 Issued in CA

Practice address

391 S Madison Ave
Pasadena, CA 91101-3375

Phone

(562) 201-7444

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1801044383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 S MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013375",
            "telephone_number": "562-201-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 S MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013375",
            "telephone_number": "562-201-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEN",
        "first_name": "GEORGEANNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "57786",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Wipperman
• Danielle J Wiriadinata
• Wisdoms Birthing Services
• Natalie Wise-Aguilar
• Cori Wiseman, MSN
• Rhonda Witherspoon
• Ryan G Witherspoon, PH.D.
• Lauren T Withhart, M.S., BCBA
• Denise Susan Witt, BA
• Kyra Jessica Wojcik, PA

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.