Organization Active NPI

Wise Mind Relationship Counseling PLLC

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1841840873
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WISE MIND RELATIONSHIP COUNSELING PLLC
Practice address
5750 Genesis CT Ste 135
Frisco, TX 75034-4229
Phone
(425) 686-5631
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Lisa Anne Delaplace, MSW, LICSW
Title
Owner
Phone
(425) 281-0613

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

5750 Genesis CT Ste 135
Frisco, TX 75034-4229

Mailing address

2912 Saltwood CT
Celina, TX 75009-6584
Phone (425) 281-0613

Other practice location 1

130 N Preston Rd Ste 100
Prosper, TX 75078-9809
Phone (425) 686-5631

Other identifiers 1

IdentifierTypeStateIssuer
217035600MedicaidWA

Other names 1

  • Mindful Path Counseling Services PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5750 Genesis Ct
Ste 135
Frisco, TX 75034
Phone (214) 347-9778

130 N Preston Rd
Ste 100
Prosper, TX 75078
Phone (425) 686-5631

2722 Colby Ave
Ste 706
Everett, WA 98201
Phone (425) 252-1049

Practitioners & affiliated clinicians

Practitioners 2

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": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1841840873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SALTWOOD CT",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096584",
            "telephone_number": "425-281-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 GENESIS CT STE 135",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344229",
            "telephone_number": "425-686-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 N Preston Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750789809",
            "country_code": "US",
            "telephone_number": "425-686-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE MIND RELATIONSHIP COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "DELAPLACE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-281-0613",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217035600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Path Counseling Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.