SUSAN WISE (NPI# 1912353715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912353715 |
| Entity Type | Individual |
| Full Name | SUSAN WISE |
| Credential | LPC |
| Practice Address |
711 Old Ballas Rd. Suite 203 Creve Coeur MO 63141 |
| Practice Telephone | 3145692253 |
| Practice Fax Number | 3145692280 |
| Mailing Telephone | 3145692253 |
| Mailing Fax Number | 3145692280 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 000510 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875163 | Susan Carol Wise | Occupational Therapy Assistant | 1120 15th St # 2902, Augusta, GA 30912-0004 | 2013-03-19 |
| 1124353792 | Susan Caulfield Wise | Physical Therapist | 7405 Calico Ct, Springfield, VA 22153-1302 | 2009-10-14 |
| 1225291263 | Susan Wise | Physical Therapy Assistant | 4252 Bonita Rd, #306, Bonita, CA 91902-1420 | 2008-07-09 |
| 1386835932 | Susan Kay Wise | Midwife | 20 Copeland Ave, Suite 200, La Crosse, WI 54603-3401 | 2007-08-08 |
| 1285635581 | Susan Beard Wise | Optometrist | 63 Chestnut St, Mars Hill, NC 28754-7542 | 2005-08-09 |
| 1598320384 | Susan Lynn Wise | Social Worker | 15700 W 10 Mile Rd Ste 106, Southfield, MI 48075-2100 | 2019-05-07 |
| Street Address |
711 OLD BALLAS RD. SUITE 203 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629450572 | Brian Sheble | Counselor | 745 Craig Rd Ste 111, Creve Coeur, MO 63141-7122 | 2015-06-26 |
| 1548457484 | Eddie Mccaskill | Counselor | 12613 Marine, Creve Coeur, MO 63146-2413 | 2007-09-25 |
| 1982124715 | Katherine Arnold | Counselor | 12647 Olive Blvd, Creve Coeur, MO 63141-6393 | 2017-06-22 |
| 1538697412 | Emily A Herbst | Counselor | 12647 Olive Blvd, Creve Coeur, MO 63141-6393 | 2017-05-23 |
| 1023474533 | Karen Cole | Counselor | 655 Craig Rd, Suite 318, Creve Coeur, MO 63141-7132 | 2016-01-13 |
| 1689934267 | Cheryl Ann Ritzman | Counselor | 11477 Olde Cabin Rd Ste 210, Creve Coeur, MO 63141-7129 | 2012-05-17 |
| 1912266495 | Ashley Diane Halker | Counselor | 11477 Olde Cabin Rd Ste 210, Creve Coeur, MO 63141-7129 | 2012-05-03 |
| 1306178918 | Jennifer Patricia Campbell | Counselor | 939 Gardenview Office Pkwy, Creve Coeur, MO 63141-5917 | 2010-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1386267227 | Paula Coyote Schaaf | Counselor | 1924 Van Brunt Blvd, Kansas City, MO 64127-2999 | 2020-05-27 |
| 1275156382 | Rebecca King | Counselor | 5407 Bagnall Dr, Jefferson City, MO 65109-0484 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on SUSAN WISE.
| 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.