BRENDA GAIL WISE LPC
NPI 1558994483
Counselor in Shermans Dale, PA

Active since February 19, 2020PECOS Enrolled
355 BURN HILL RD, SHERMANS DALE, PA 17090(315) 286-6569 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 23, 2021, Feb 19, 2020 (2 updates tracked since 2020).

About Brenda Gail Wise Lpc NPPES

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

BRENDA GAIL WISE LPC (NPI 1558994483) is an individual counselor in Shermans Dale, Pennsylvania, licensed in Pennsylvania (PC007958) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558994483
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBRENDA GAIL WISECredential: LPC
Location Address355 BURN HILL RDShermans Dale, PA 17090-8905
Mailing Address355 Burn Hill RdShermans Dale, PA 17090-8905 · (315) 286-6569
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 19, 2020
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
NPI 1558994483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in PA · PC007958
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.

355 BURN HILL RD, Shermans Dale, PA 17090

Medicare Participation & PECOS Enrollment Status

Brenda Wise is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Brenda Wise is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2567983455

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251210000599

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for BRENDA GAIL WISE LPC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558994483, enumerated as an "individual" on February 19, 2020.

The provider is located at 355 BURN HILL RD SHERMANS DALE, PA 17090 and the phone number is (315) 286-6569.

Counselor with taxonomy code 101Y00000X.