Evelyn Leah Wise, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-9029 Issued in ID

Practice address

1015 Caldwell Blvd Ste 5
Nampa, ID 83651-1717

Phone

(208) 614-3070

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1669107835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 STARLIGHT AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056625",
            "telephone_number": "208-614-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CALDWELL BLVD STE 5",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511717",
            "telephone_number": "208-614-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "EVELYN",
        "middle_name": "LEAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-9029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spenser Winberry
• Delaynia Winchester
• Denise Winkel, LPC
• Brooke Winston, LPC
• Andrea Wise, DPT
• Wiseman Group
• Mark Wayne Wiseman, LPC
• Witco, Inc.
• Stephanie Witt, MA
• Sarah D Witte, FAMILY NURSE PRACTIT

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.