SUSAN WISE LPC NPI 1912353715

NPI Information

  • NPI: 1912353715
  • Provider Name: SUSAN WISE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 OLD BALLAS RD.
    SUITE 203
    CREVE COEUR, MO
    ZIP 63141
  • Phone: (314) 569-2253

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NPI Details

Susan Wise, LPC is a professional counselor in Creve Coeur, MO. Susan Wise, LPC NPI is 1912353715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

711 OLD BALLAS RD.
SUITE 203
CREVE COEUR, MO
ZIP 63141
Phone: (314) 569-2253
Fax: (314) 569-2280

The NPI 1912353715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 2/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor000510MISSOURINo
2101YP2500XCounselorProfessional000510MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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