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SUSAN WISE LPC
NPI 1912353715
Counselor - Professional in Creve Coeur, MO

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
711 OLD BALLAS RD., SUITE 203, CREVE COEUR, MO 63141(314) 569-2253(314) 569-2280 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Wise Lpc NPPES

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

SUSAN WISE LPC (NPI 1912353715) is an individual professional provider in Creve Coeur, Missouri, licensed in Missouri (000510) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1912353715
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN WISECredential: LPC
Location Address711 OLD BALLAS RD., SUITE 203Creve Coeur, MO 63141
Mailing Address711 Old Ballas Rd., Suite 203Creve Coeur, MO 63141 · (314) 569-2253 · Fax (314) 569-2280
Phone(314) 569-2253
Fax(314) 569-2280
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateMay 11, 2016
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1912353715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 000510
Also ListedCounselorTaxonomy 101Y00000X · License 000510 (MO)
711 OLD BALLAS RD., Creve Coeur, MO 63141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Wise Lpc 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 ID6103263322
PECOS Enrollment IDI20240325000531
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.

Other Providers at the Same Location NPPES

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

ALLERGY AND ASTHMA CONSULTANTS, PC
Allergy & Immunology (Allergy)
711 OLD BALLAS RD., SUITE 100
ST. LOUIS, MO 63141
St. Louis County (314) 569-0510

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 Susan Wise's NPI number?

The NPI number for Susan Wise is 1912353715. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Susan Wise located?

Susan Wise practices at 711 Old Ballas Rd. Suite 203, Creve Coeur, MO 63141. The listed phone number is (314) 569-2253.

What is Susan Wise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Susan Wise enrolled in Medicare?

Yes. Susan Wise 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.

What insurance does Susan Wise accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Susan Wise 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 Susan Wise was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.