Tracy Leon Wise

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3575 Donald St
Ste 600
Eugene, OR 97405-4753

Phone

(541) 520-8633

NPI assigned

Nov 20, 2008

Sex

Male

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

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1699920462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 DONALD ST",
            "address_2": "STE 600",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054753",
            "telephone_number": "541-520-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 DONALD ST",
            "address_2": "STE 600",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054753",
            "telephone_number": "541-520-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "TRACY",
        "middle_name": "LEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Elisabeth Winters, LMT
• Quincy Iris Wise-Dorbolo
• Brandi Wise
• Ruth Wise, LMT
• Tammy Wise, L.M.T., B.S.
• Ryan S Wiser, PT, DPT
• David Michael Withem
• Galen Withrow, DPT
• David Bruce Witkin, M.D.
• Lincoln Tyler Witt, M.A., L.P.C.

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.