MRS. KATHERINE SUE WISEHART MAC
NPI 1114270451
Counselor in Monticello, MO

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment
105 EAST LAFAYETTE, MONTICELLO, MO 63457(573) 767-1212(573) 767-1212 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Katherine Sue Wisehart Mac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHERINE SUE WISEHART MAC (NPI 1114270451) is an individual counselor in Monticello, Missouri and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114270451
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KATHERINE SUE WISEHARTCredential: MAC
Location Address105 EAST LAFAYETTEMonticello, MO 63457
Mailing Address22110 State Highway 6Ewing, MO 63440-2629 · (573) 767-1212 · Fax (573) 767-1212
Fax(573) 767-1212
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 24, 2012
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1114270451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
105 EAST LAFAYETTE, Monticello, MO 63457

Secondary Practice Locations 2

Location 1Truman Counseling Center, 100 E. Normal Ave.Kirksville, MO 63501 · Phone (660) 785-4014 · Fax (660) 785-7444
Location 2300 E. Line Street, McKinney HallKirksville, MO 63501 · Phone (660) 785-4014 · Fax (660) 785-7444

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katherine Sue Wisehart Mac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618315227
PECOS Enrollment IDI20240402001771
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Wisehart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
6500 HOSPITAL DRIVE
Hannibal, MO 63401
  • Reassigned Medicare billing, Missouri enrollment
  • 149 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Missouri enrollment
  • 218 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Wisehart's NPI number?

The NPI number for Katherine Wisehart is 1114270451. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Katherine Wisehart located?

Katherine Wisehart practices at 105 East Lafayette, Monticello, MO 63457. The listed phone number is (573) 767-1212.

What is Katherine Wisehart's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Katherine Wisehart enrolled in Medicare?

Yes. Katherine Wisehart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katherine Wisehart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Wisehart reassigns Medicare benefits to 2 organizations: Hannibal Regional Healthcare System, Inc (Hannibal, MO) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Wisehart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Wisehart accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Katherine Wisehart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Wisehart was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.