Organization Active NPI

Wishing Tree Counseling

  • Clinical Social Worker
  • Frankfort, KY
National Provider Identifier
1962045435
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WISHING TREE COUNSELING
Practice address
1030 Burlington LN Ste 4
Frankfort, KY 40601-8785
Phone
(502) 320-3697
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Susan Buckman, LCSWNPI 1063977759
Title
Ceo
Phone
(502) 382-6606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1030 Burlington LN Ste 4
Frankfort, KY 40601-8785

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other practice location 1

111 Watson Ct
Frankfort, KY 40601-2611
Phone (502) 382-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220223002349 KY Part B Supplier - Clinic/Group Practice 6305230053 Receives reassigned benefits from 1 practitioner
Practice locations: Salvisa, KY

National Provider Directory

National Provider Directory

Locations

1030 Burlington Ln
Ste 4
Frankfort, KY 40601
Phone (502) 320-3697

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1962045435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BURLINGTON LN STE 4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406018785",
            "telephone_number": "502-320-3697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Watson Ct",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406012611",
            "country_code": "US",
            "telephone_number": "502-382-6606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISHING TREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "BUCKMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-382-6606",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.