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AMANDA ROSE WISE LPC
NPI 1114684891
Counselor - Mental Health in Meridian, ID

Active since November 17, 2021
3006 E GOLDSTONE DR, MERIDIAN, ID 83642(208) 614-3413 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Nov 17, 2021 (2 updates tracked since 2021).

About Amanda Rose Wise Lpc NPPES

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

AMANDA ROSE WISE LPC (NPI 1114684891) is an individual mental health provider in Meridian, Idaho, licensed in Idaho (LPC-8499) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1114684891
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA ROSE WISECredential: LPC
Location Address3006 E GOLDSTONE DRMeridian, ID 83642-1549
Mailing Address3006 E Goldstone DrMeridian, ID 83642-1549
Phone(208) 614-3413
Sole ProprietorYes
Enumeration DateNovember 17, 2021
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1114684891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-8499
3006 E GOLDSTONE DR, Meridian, ID 83642
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDFUL HEALING PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 391-5046
ALEX DUNCAN LLC
Counselor (Mental Health)
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 353-2223
MRS. JENNIE PATRICIA HAZEN L.C.P.C.
Counselor (Professional)
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 515-7661
EMBRACE CONNECTIONS LLC
Community/Behavioral Health
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 250-7591
MARICAR JOSE JACOBA LPC
Counselor
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 515-7661
AMBER LYNN BENNETT LPC
Counselor (Mental Health)
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 515-7661
DANIEL A LA POINT
Counselor (Professional)
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (562) 822-2366
JOANA TORRES-FONSECA
Counselor (Mental Health)
3006 E GOLDSTONE DR
MERIDIAN, ID 83642
Ada County (208) 283-6542

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 Amanda Wise's NPI number?

The NPI number for Amanda Wise is 1114684891. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Amanda Wise located?

Amanda Wise practices at 3006 E Goldstone Dr, Meridian, ID 83642. The listed phone number is (208) 614-3413.

What is Amanda 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 Amanda Wise was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.