Active NPI
Wiser Source LLC
- Mental Health Counselor
- Merrillville, IN
National Provider Identifier
1821803875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WISER SOURCE LLC
- Practice address
- 508 E 86TH Ave
Merrillville, IN 46410-6213 - Phone
- (219) 810-5301
- NPI assigned
- Feb 7, 2025
- Last updated
- Feb 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly Walker
- Title
- Managing Director
- Phone
- (219) 292-4546
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| School Counselor | 101YS0200X | |||
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Behavior Technician | 106S00000X | |||
| Registered Nurse | 163W00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Recreation Therapist | 225800000X | |||
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
508 E 86TH Ave
Merrillville, IN 46410-6213
Mailing address
508 E 86TH Ave
Merrillville, IN 46410-6213
National Provider Directory
National Provider DirectoryLocations
508 E 86th Ave
Merrillville, IN 46410
Phone (219) 810-5301
Practitioners & affiliated clinicians
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.
-
- Case Manager/Care Coordinator
- Merrillville, IN
- NPI 1568017556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1821803875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 E 86TH AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E 86TH AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106213",
"telephone_number": "219-810-5301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISER SOURCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "219-292-4546",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0810X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.