MARK WAYNE WISEMAN LPC NPI 1376847269

NPI Information

  • NPI: 1376847269
  • Provider Name: MARK WAYNE WISEMAN, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2422 12TH AVE RD
    NUMBER 144
    NAMPA, ID
    ZIP 83686
  • Phone: (208) 919-9706

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NPI Details

Mark Wayne Wiseman, LPC is a mental health counselor in Nampa, ID. Mark Wayne Wiseman, LPC NPI is 1376847269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2422 12TH AVE RD
NUMBER 144
NAMPA, ID
ZIP 83686-300
Phone: (208) 919-9706

The enumeration date for this NPI number is 1/6/2011 and was last updated on 1/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health3034IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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