MARK EDWARD WAKEFIELD MA MBA NPI 1568617702

NPI Information

  • NPI: 1568617702
  • Provider Name: MARK EDWARD WAKEFIELD, MA, MBA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1709 S PARK ST
    MADISON, WI
    ZIP 53713
  • Phone: (608) 223-0017

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NPI Details

Mark Edward Wakefield, MA, MBA is a mental health counselor in Madison, WI. Mark Edward Wakefield, MA, MBA NPI is 1568617702. 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:

1709 S PARK ST
MADISON, WI
ZIP 53713-200
Phone: (608) 223-0017
Fax: (608) 223-0019

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)13764132WISCONSINNo
2101YM0800XCounselorMental Health479226WISCONSINYes

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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