Wisteria Counseling LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1021 Issued in NH

Legal business name

WISTERIA COUNSELING LLC

Practice address

322 W Main St # 111
Tilton, NH 03276-5037

Phone

(037) 297-9796

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By 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

Mrs. Patricia A Hiscoe, MLADC

Title

Clinician/Owner

Phone

(603) 729-7979

Specialties & licenses 1

Addresses

Other names 1

• Wisteria Counseling LLc Former legal business name

Locations

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1912483561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765037",
            "telephone_number": "603-729-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST # 111",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765037",
            "telephone_number": "037-297-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "HISCOE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "603-729-7979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisteria Counseling LLc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Tilton, NH
• Providers in Tilton, NH by specialty
• Addiction (Substance Use Disorder) Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.