Individual provider Active NPI

Seth Adam Wizwer, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1962573659
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
642 Issued in NH
Practice address
65 Middle St
Manchester, NH 03101-1905
Phone
(603) 767-1290
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 642 NH Primary
Mental Health Counselor 101YM0800X CC2999 ME

Addresses

Primary practice location

65 Middle St
Manchester, NH 03101-1905

Mailing address

38 Gonet Dr
Newmarket, NH 03857-1746
Phone (603) 767-1290

Other identifiers 2

IdentifierTypeStateIssuer
CC2999OtherMEMAINE LICENSE NUMBER
642OtherNHLCMHC LICENSE NUMBER

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

LicenseStateTypeSpecialty
CC2999MEMDMental Health Counselor
642NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1962573659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GONET DR",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571746",
            "telephone_number": "603-767-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MIDDLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011905",
            "telephone_number": "603-767-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZWER",
        "first_name": "SETH",
        "middle_name": "ADAM",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "642",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC2999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE LICENSE NUMBER",
            "identifier": "CC2999",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMHC LICENSE NUMBER",
            "identifier": "642",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.