MICHELLE M WISE (NPI# 1629520978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629520978 |
| Entity Type | Individual |
| Full Name | MICHELLE M WISE |
| Credential | LPC |
| Practice Address |
1524 S Ih 35 Suite 210 Austin TX 78704-8931 |
| Practice Telephone | 5123438606 |
| Practice Fax Number | 5123438620 |
| Mailing Telephone | 5123438606 |
| Mailing Fax Number | 5123438620 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
11597 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942261466 | Michelle Tonia Wise | Registered Nurse | 240 S Second St, Hampton, VA 23664-1407 | 2006-04-01 |
| 1497145676 | Michelle Sizzan Wise | Behavioral Analyst | 510 W. 11th Street, Family Solutions, Medford, OR 97501 | 2015-01-27 |
| 1841516143 | Michelle Elizabeth Wise | Nurse Practitioner | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2010-04-12 |
| 1942467899 | Michelle Marie Wise | Counselor | 2104 Zimmerly Rd, Erie, PA 16509-6213 | 2008-05-19 |
| Street Address |
1524 S IH 35 SUITE 210 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699740712 | Richard Biddle Briggs | Ophthalmology | 1524 S Ih 35, Suite 235, Austin, TX 78704-8931 | 2006-02-22 |
| 1619356458 | Sydney Mcquade | Counselor | 1524 S Ih 35, Suite 202, Austin, TX 78704-8931 | 2015-05-26 |
| 1710389374 | Tonya Hadley | Counselor | 1524 S Ih 35, Suite 210, Austin, TX 78704-8931 | 2014-09-25 |
| 1457764797 | Misty Mathis | Counselor | 1524 S Ih 35, Suite 210, Austin, TX 78704-8931 | 2014-06-04 |
| 1508125444 | Tracy Carver | Psychologist | 1524 S Ih 35, Suite 202, Austin, TX 78704-8931 | 2012-05-13 |
| 1316215635 | Iveth Pacheco | Counselor | 1524 S Ih 35, 210, Austin, TX 78704-8931 | 2011-12-01 |
| 1184906083 | Barbara Lynn Christenson | Counselor | 1524 S Ih 35, Suite 210, Austin, TX 78704-8931 | 2011-09-15 |
| 1851697692 | Terisa Ann Marini | Social Worker | 1524 S Ih 35, Suite 210, Austin, TX 78704-8931 | 2011-01-26 |
| 1629205646 | Camelot Community Care, Inc | Counselor | 1524 S Ih 35, Suite 218, Austin, TX 78704-8931 | 2009-06-17 |
| 1699947937 | Johanna Louise Gravesmill | Social Worker | 1524 S Ih 35, Suite 210, Austin, TX 78704-8931 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
| 1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
| 1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
| 1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
| 1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on MICHELLE M 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.