Active NPI
Morris O. Wise, COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Richmond, VA
National Provider Identifier
1891208294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710001101
- Practice address
- 2217 E Franklin St
Richmond, VA 23223-7046 - Phone
- (804) 213-0249
- Fax
- (804) 716-0715
- NPI assigned
- Nov 8, 2017
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710001101 | VA | Primary |
Addresses
Primary practice location
2217 E Franklin St
Richmond, VA 23223-7046
Mailing address
2217 E Franklin St
Richmond, VA 23223-7046
Phone (804) 213-0249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710001101 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Treatment of Virginia LP | 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.
-
- Methadone Clinic
- Richmond, VA
- NPI 1376759936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1891208294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 E FRANKLIN ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237046",
"telephone_number": "804-213-0249",
"fax_number": "804-716-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 E FRANKLIN ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237046",
"telephone_number": "804-213-0249",
"fax_number": "804-716-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "MORRIS",
"middle_name": "O.",
"credential": "COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710001101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.