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Active NPI 1063456721 Individual Practitioner Male Practitioner

Robert Wisdom , LMLP, LCP

Counselor - Professional • Manhattan, KS

Professional Overview & Biography Verified Profile Summary

Robert Wisdom, LMLP, LCP is a registered healthcare professional specializing in Counselor - Professional in Manhattan, KS. Practice services are available at 1558 HAYES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1558 Hayes Dr

Manhattan, KS 665025068

Telephone 7855874315
Fax 7855874339
Associated Practice Facility / Clinic
🏢 Pawnee Mental Hlth Services Facility NPI 1518165778

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Manhattan, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Manhattan, KS (1513 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License KS 1438

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License KS 0157

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License KS 130

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200441350A (KS)
Commercial Insurance / Payer ID Bcbs
856662 (KS)
Commercial Insurance / Payer ID Caqh
11654652

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Brett Bruning , LMFT, LAC

Marriage & Family Therapist

NPI 1023163052

Licensed Marriage and Family Therapist, Licensed Acupuncturist

NPI 1053166223

Licensed Master Social Worker

Adam Johnson , LSCSW, LMAC

Social Worker - Clinical

NPI 1144456146
Kim Daniels , LMAC

Counselor - Addiction (Substance Use Disorder)

NPI 1184190217
Stacy Conner , LMFT

Counselor - Mental Health

NPI 1194194811

Licensed Marriage and Family Therapist

Krystal Lantz , LCP

Counselor - Mental Health

NPI 1215213186

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2013

Registered at 1558 HAYES DR, MANHATTAN, KS 665025068 (Tel: 7855874315)

📍
Updated Business Mailing Address January 24, 2013

Registered at PO BOX 747, MANHATTAN, KS 665050747 (Tel: 7855874300)

👤
Provider Name / Credentials Updated January 24, 2013

Recorded as ROBERT WISDOM, LMLP, LCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2013

Counselor (License #0157 in KS)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063456721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: January 24, 2013
Sole Proprietor: No

Mailing Address

Po Box 747

Manhattan, KS 665050747

Phone: 7855874300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.