JERRY THOMAS WISE (NPI# 1487982815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487982815 |
Entity Type | Individual |
Full Name | JERRY THOMAS WISE |
Credential | MA, MS |
Practice Address |
703 Pro-med Ln Ste 102 Carmel IN 46032-5318 |
Practice Telephone | 3179196264 |
Mailing Telephone | 3179196264 |
Enumeration Date | 2009-11-23 |
Last Update Date | 2009-11-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
Street Address |
703 PRO-MED LN STE 102 |
City | CARMEL |
State | IN |
Zip Code | 46032-5318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770809311 | Christina Marie Aloisio | Social Worker | 703 Pro-med Ln Ste 102, Carmel, IN 46032-5318 | 2010-04-07 |
1053641068 | Jennifer Lynne Lance | Counselor | 703 Pro-med Ln Ste 102, Carmel, IN 46032-5318 | 2010-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
Find all providers in zip 46032 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316456122 | Kelli Ruth Payne | Marriage & Family Therapist | 615 W Carmel Dr Ste 120, Carmel, IN 46032-5501 | 2017-09-25 |
1689114530 | Stacey K Wood | Marriage & Family Therapist | 3771 Rio Rd, Suite 106, Carmel, CA 93923-8670 | 2017-02-26 |
1912337908 | Marthaelin Mountain | Marriage & Family Therapist | 26465 Carmel Rancho Blvd Ste 3, Carmel, CA 93923-8747 | 2013-11-12 |
1194077628 | Joseph Kowalow | Marriage & Family Therapist | 2215 E 151st St Apt 4, Carmel, IN 46033-7777 | 2012-10-08 |
1922370576 | Bonnie Rose Fernandez | Marriage & Family Therapist | Lincoln 2nw of 7th, Carmel, CA 93921-4742 | 2012-01-28 |
1275822892 | Cheryl Trotter Robertson | Marriage & Family Therapist | 3785 Via Nona Marie, Suite #300, Carmel, CA 93923 | 2011-04-05 |
1811203409 | Flora Crim | Marriage & Family Therapist | 645 W Carmel Dr Ste 160, Attn: Flora Crim, Carmel, IN 46032-2571 | 2010-08-20 |
1215191051 | Kirstin O Lyon | Marriage & Family Therapist | 27871 Berwick Dr, Carmel, CA 93923-8555 | 2008-07-10 |
1912191602 | Marta L Bennett | Marriage & Family Therapist | 25595 Via Crotalo, Carmel, CA 93923-8404 | 2007-09-05 |
1477747335 | Renee Charlene Monrad | Marriage & Family Therapist | 26384 Carmel Rancho Ln, Suite 200e, Carmel, CA 93923-8780 | 2007-09-04 |
Find all providers in CARMEL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.