Wise Mindbody Institute PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISE MINDBODY INSTITUTE PLLC

Practice address

100 N Howard St Ste W
Spokane, WA 99201-0508

Phone

(504) 688-9323

Fax

(608) 740-5963

NPI assigned

Oct 9, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erica Vanshander Buckner, PH.D., LCSW, ACSWNPI 1265084776

Title

Clinical Operations Director

Phone

(504) 688-9323

Specialties & licenses 11

Addresses

Practitioners 3

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.

• Erica V Buckner, B.A., M.S.W.

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1265084776
  NPD Authorized official
• Terry Allen Dixon

  • Behavior Technician
  • New Orleans, LA
  • NPI 1003788951

  Nutrition, Education

  NPD (past)
• Jasmine Perry

  • Behavior Technician
  • New Orleans, LA
  • NPI 1750253605

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1881569762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OPELOUSAS AVE # 17",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701144343",
            "telephone_number": "504-688-9323",
            "fax_number": "608-740-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "504-688-9323",
            "fax_number": "608-740-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Opelousas Ave # 17",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701144343",
            "country_code": "US",
            "telephone_number": "504-688-9323",
            "fax_number": "608-740-5963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Gravier St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701197459",
            "country_code": "US",
            "telephone_number": "504-688-9323",
            "fax_number": "608-740-5963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE MINDBODY INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "VANSHANDER",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "504-688-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "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": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Wirtz, MA
• Sumerlyn Wirtz
• Christine Louise Wiscombe, FNP-C
• Wise Mind Academy LLC (Wise Mind Academy)
• Wise Mind, LLC (Wise Mind)
• Wise Wellness, PLLC (Wise Chiropractic and Wellness)
• William Wise-Gendusa
• Kassandra Wise
• Ramona Wise
• Trent F Wise, D.C.

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.