Organization Active NPI

Wiselife Counseling PLLC

  • Clinical Social Worker
  • Edmond, OK
National Provider Identifier
1992225379
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4086 Issued in OK
Legal business name
WISELIFE COUNSELING PLLC
Practice address
2708 NW 187TH Ter
Edmond, OK 73012-7622
Phone
(405) 519-0879
Fax
(405) 519-0879
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Mrs. Marvla Marie Kesler, LCSWNPI 1619269503
Title
Social Worker
Phone
(405) 519-0879

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4086 OK Primary

Addresses

Primary practice location

2708 NW 187TH Ter
Edmond, OK 73012-7622

Mailing address

2708 NW 187TH Ter
Edmond, OK 73012-7622
Phone (405) 519-0879

Other names 1

  • Wiselife Counseling Doing business as

National Provider Directory

National Provider Directory

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": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1992225379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 NW 187TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127622",
            "telephone_number": "405-519-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 NW 187TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127622",
            "telephone_number": "405-519-0879",
            "fax_number": "405-519-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISELIFE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "KESLER",
        "authorized_official_first_name": "MARVLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "405-519-0879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiselife Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.