Nova Counseling Alternatives LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001423A Issued in IN

Legal business name

NOVA COUNSELING ALTERNATIVES LLC

Practice address

1941 E Spring St
New Albany, IN 47150-1658

Phone

(812) 206-3291

Fax

(812) 206-3296

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Selena B. Wisman, LMFT

Title

Owner

Phone

(812) 206-3291

Specialties & licenses 4

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1972710481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471510413",
            "telephone_number": "812-206-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 E SPRING ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471501658",
            "telephone_number": "812-206-3291",
            "fax_number": "812-206-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA COUNSELING ALTERNATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "WISMAN",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-206-3291",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004562A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1042",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003588A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001423A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WENDY CAQH",
            "identifier": "11459548",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH E. HATFIELD",
            "identifier": "11608101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI WENDY WILLIS",
            "identifier": "1477559334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH  S. WISMAN",
            "identifier": "11459226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SELENA WISMAN",
            "identifier": "1316944432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN2168",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-ELENA HATFIELD",
            "identifier": "1467459446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in New Albany, IN
• Providers in New Albany, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.