Wiseman Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3034 Issued in ID

Legal business name

WISEMAN GROUP

Practice address

2422 12TH Ave Rd
144
Nampa, ID 83686-6300

Phone

(208) 919-9706

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Mark Wayne Wiseman, LPCNPI 1376847269

Title

Owner

Phone

(208) 919-9706

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Wayne Wiseman, LPC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1376847269
  NPD (past) Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1245589860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 12TH AVE RD",
            "address_2": "144",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866300",
            "telephone_number": "208-919-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 12TH AVE RD",
            "address_2": "144",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866300",
            "telephone_number": "208-919-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-919-9706",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "3034",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "3034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaynia Winchester
• Denise Winkel, LPC
• Brooke Winston, LPC
• Andrea Wise, DPT
• Evelyn Leah Wise, LPC
• Mark Wayne Wiseman, LPC
• Witco, Inc.
• Stephanie Witt, MA
• Sarah D Witte, FAMILY NURSE PRACTIT
• Wmcesa (Women's Medical Clinic)

• Community/Behavioral Health Agency in Nampa, ID
• Providers in Nampa, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.