Wise Mind Therapy & Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003082 Issued in CT

Legal business name

WISE MIND THERAPY & COUNSELING LLC

Practice address

10 Higgins Hwy Ste 14
Mansfield Center, CT 06250-1437

Phone

(860) 933-9937

Fax

(860) 228-8106

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Avery Risley, LPCNPI 1427475730

Title

Owner

Phone

(860) 933-3986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Amanda Avery Risley, LPC

  • Professional Counselor
  • Mansfield Center, CT
  • NPI 1427475730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1972041267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 14",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-933-9937",
            "fax_number": "860-228-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 14",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-933-9937",
            "fax_number": "860-228-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND THERAPY & COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "RISLEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-933-3986",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Ross Williams, RN, PMHNP-BC
• Susan Grace Williams, LMFT
• Kristen Jean Wilmot, PA-C
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• Deborah Liang Wing, D.D.S.
• Taylor Woronecki
• Lucille Pi-Huei Wu-Scigliano, DMD
• Sophia Zbell, LMSW
• Joy Zuzel

• Professional Counselor in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.