Healthcare Provider Details

I. General information

NPI: 1073426151
Provider Name (Legal Business Name): WISEMAN COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 COLLEGE BLVD STE 260
LEAWOOD KS
66211-2415
US

IV. Provider business mailing address

9517 DEARBORN ST
OVERLAND PARK KS
66207-2821
US

V. Phone/Fax

Practice location:
  • Phone: 913-634-8011
  • Fax:
Mailing address:
  • Phone: 913-634-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: REBECA MAE WISEMAN
Title or Position: CLINICAL SOCIAL WORKER
Credential: LSCSW
Phone: 913-634-8011