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JACKIE WISE MHS
NPI 1063007201
Counselor - Mental Health in Reading, PA

Active since March 09, 2021
3605 ORCHARD VIEW RD, READING, PA 19606(610) 781-0331 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Wise Mhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE WISE MHS (NPI 1063007201) is an individual mental health provider in Reading, Pennsylvania and active in the NPI registry since March 2021. He maintains a secondary practice location in Orwigsburg.

NPPES Registry Identity

NPI1063007201
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE WISECredential: MHS
Location Address3605 ORCHARD VIEW RDReading, PA 19606-3921
Mailing Address3605 Orchard View RdReading, PA 19606-3921 · (610) 781-0331
Phone(610) 781-0331
Sole ProprietorYes
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1063007201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3605 ORCHARD VIEW RD, Reading, PA 19606
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Secondary Practice Location 1

Location 1340 S Liberty StOrwigsburg, PA 17961-2110 · Phone (570) 366-1154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Wise's NPI number?

The NPI number for Jackie Wise is 1063007201. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Jackie Wise located?

Jackie Wise practices at 3605 Orchard View Rd, Reading, PA 19606. The listed phone number is (610) 781-0331.

What is Jackie Wise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Wise was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.