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WISE CCC
NPI 1407504939
Clinic/Center - Mental Health (Including Community Mental Health Center) in Decatur, TX

Active since March 14, 2022
1650 S FM 51 STE 400, DECATUR, TX 76234(940) 627-1618(940) 393-0429 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wise Ccc NPPES

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

WISE CCC (NPI 1407504939) is a healthcare organization registered as a mental health (including community mental health center) in Decatur, Texas and active in the NPI registry since March 2022. The organization lists Beverly Joann Ross, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407504939
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWISE CCC
Location Address1650 S FM 51 STE 400Decatur, TX 76234-3630
Mailing Address1650 S Fm 51 Ste 400Decatur, TX 76234-3630 · (940) 627-1618 · Fax (940) 393-0429
Phone(940) 627-1618
Fax(940) 393-0429
Organization SubpartNo
Authorized OfficialBeverly Joann RossExecutive Director · (940) 627-1618
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1407504939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1650 S FM 51 STE 400, Decatur, TX 76234
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN LITTLE LPC-A
Counselor (Professional)
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618
MARTHA ANGELICA RUIZ
Counselor (Mental Health)
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618
LAURI MICHELLE HENDERSON LPC-A, SCHOOL COUN.
Counselor
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618
CYNTHIA ALEJANDRA ALVAREZ M.ED.
Counselor
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 389-9010
DEVON MCCAIN
Counselor (Mental Health)
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618
MRS. FAYE DARLENE THWEATT LPC
Counselor (Professional)
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618
BEVERLY JOANN ROSS M.A., LPC-S
Counselor (Mental Health)
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618
BRIANNA WATKINS
Counselor (Professional)
1650 S FM 51 STE 400
DECATUR, TX 76234
Wise County (940) 627-1618

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 Wise Ccc's NPI number?

The NPI number for Wise Ccc is 1407504939. It was assigned to this organization in the NPPES registry on March 14, 2022.

Where is Wise Ccc located?

Wise Ccc is located at 1650 S Fm 51 Ste 400, Decatur, TX 76234. The listed phone number is (940) 627-1618.

What is Wise Ccc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wise Ccc was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.