Active NPI
Thomas Wissert
- Counselor
- Florence, AL
National Provider Identifier
1851943948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2672
- Practice address
- 614 S Court St
Florence, AL 35630-6111 - Phone
- (615) 567-6726
- NPI assigned
- Jul 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2672 | AL | Primary |
Addresses
Primary practice location
614 S Court St
Florence, AL 35630-6111
Mailing address
PO Box 682427
Franklin, TN 37068-2427
Phone (615) 567-6726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 7, 2024 through Oct 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2672 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Healthcare Alabama LLC | Past | Accepting new patients |
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.
-
dba Pathway Healthcare Hartselle
- Addiction Medicine (Family Medicine) Physician
- Birmingham, AL
- NPI 1053855122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1851943948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 682427",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370682427",
"telephone_number": "615-567-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 S COURT ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356306111",
"telephone_number": "615-567-6726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSERT",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "2672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
- Patrick Roger Wilson, D.M.D
- Deborah Kay Winberry, PA
- Shyann Nicole Windham, PMHNP
- Wesley Chase Wise, LPC
- Wissert Coaching and Counseling, LLC
- Women and Children: Counseling, Consulting, and Educating LLC
- Women and Children: Counseling, Consulting, and Educating LLC
- Janet Lynne Wood, CRNP
- Alex G Woodard, PT, DPT
- Elizabeth C Woodford, CRNP, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.