Lesley Dawn Wisdom, CPRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

4238 NE 1St St
Pryor, OK 74361-9614

Phone

(918) 825-1930

NPI assigned

Sep 15, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Chance Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Pryor, OK
  • NPI 1790301893
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1235809906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 W 415 RD",
            "city": "ADAIR",
            "state": "OK",
            "postal_code": "743302854",
            "telephone_number": "918-638-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 NE 1ST ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743619614",
            "telephone_number": "918-825-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "LESLEY",
        "middle_name": "DAWN",
        "credential": "CPRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Wiley
• Tyler Williams-Redus
• Lynn Michael Williams
• Terri E Williams
• Kelli Willis, BS, CMII, RSS, CADC
• Rhonda Deann Wood
• Meagan Paige Wright
• WTB Counseling LLC (Main Focus Counseling)
• Amelia Donn Wyatt
• Megan Lindsey Wyckoff

• Peer Specialist in Pryor, OK
• Providers in Pryor, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.