Vicki Lou Wise-Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710103350 Issued in VA

Practice address

500 Pegasus CT Ste 500
Winchester, VA 22602-4596

Phone

(540) 313-4196

Fax

(540) 686-7906

NPI assigned

Jun 28, 2019

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Crossroads Treatment Center of Winchester, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winchester, VA
  • NPI 1750823043
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1851952964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W 13TH ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302912",
            "telephone_number": "540-535-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PEGASUS CT STE 500",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024596",
            "telephone_number": "540-313-4196",
            "fax_number": "540-686-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE-SMITH",
        "first_name": "VICKI",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Winfield, PT, DPT
• Jennifer Winslow
• Curtis A Winter, MD
• Marianne Winters
• Natalie S Winters, PHARMD
• Thomas Watkins Wise, MD
• Dabney Ragland Wisecarver, FNP-BC
• Scottie Withers, FNP-C
• Ellen Witschey, OTR
• Susan Witt

• Addiction (Substance Use Disorder) Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.