DOMINIQUE WISE
NPI 1548622897
Counselor in San Jose, CA

NPI Status: Active since March 25, 2016

Contact Information

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112
Phone: (408) 971-9822

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  • Individual
  • Male
  • Counselor

About DOMINIQUE WISE

This page provides the complete NPI Profile along with additional information for Dominique Wise, a provider established in San Jose, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1548622897 assigned on March 2016. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1548622897
Provider Name
DOMINIQUE WISE
Gender
Male
Entity Type
Individual
Location Address
1887 MONTEREY HWY STE 205 SAN JOSE, CA 95112
Location Phone
(408) 971-9822
Mailing Address
1887 MONTEREY HWY STE 205 SAN JOSE, CA 95112
Mailing Phone
(408) 971-9822
Is Sole Proprietor?
Yes
Enumeration Date
03-25-2016
Last Update Date
07-16-2018
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Location Map

Secondary Locations

  • 59 Crocker Ct
    San Jose, CA 95111
    (408) 227-8660

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2171M00000XOther Service Providers

Case Manager/Care Coordinator

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548622897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881224818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 2 + 4 + 8 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1548622897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BRENDA NERI

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

SUEMY MARIELA HERNANDEZ MAY

Case Manager/Care Coordinator

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(415) 870-0456

DAPHNE RAEL

Case Manager/Care Coordinator

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

ANTHONY ANDREW BRAVO SR.

Case Manager/Care Coordinator

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

MRS. JOLYNN M DARDEN MSW

Social Worker

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

DR. MARIELA ZELEDON PH.D., ASW, LPHA

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(412) 841-9176

MR. T.C. N/A EVERETT JR.

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

SERENITY CRUZ GONZALEZ

Counselor

(Mental Health)

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

MISS MARTHA VERONICA VALENCIA

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 726-4472

KANIKA SOUN

Specialist

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

MELISSA NICOLE GUTIERREZ

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

BRIDGET HAERR

Counselor

(Mental Health)

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

MS. PANNA R SHAH MD

Psychiatry & Neurology

(Psychiatry)

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

HELEN LIGGINS

Counselor

(Mental Health)

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

DIXA URBINA

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

EXSAR DEL REAL

Case Manager/Care Coordinator

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

KENYA HERMENIA KENNEDY

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

BEVERLY KOLOKO-GREEN

Case Manager/Care Coordinator

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

EDDIE LEE BROWN JR.

Counselor

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

KIMBERLY HSU YAN AMFT

Marriage & Family Therapist

1887 MONTEREY HWY STE 205
SAN JOSE, CA
ZIP 95112

(408) 971-9822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548622897, enumerated as an "individual" on March 25, 2016.

The provider is located at 1887 MONTEREY HWY STE 205 SAN JOSE, CA 95112 and the phone number is (408) 971-9822.

Counselor with taxonomy code 101Y00000X.