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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: August 16, 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
Phone(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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda Gail Wise Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567983455
PECOS Enrollment IDI20251210000599
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.

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 Brenda Wise's NPI number?

The NPI number for Brenda Wise is 1558994483. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Brenda Wise located?

Brenda Wise practices at 355 Burn Hill Rd, Shermans Dale, PA 17090. The listed phone number is (315) 286-6569.

What is Brenda Wise's specialty?

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

Is Brenda Wise enrolled in Medicare?

Yes. Brenda Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Wise was last updated on February 23, 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.