1. Home
  2. Directory
  3. Oregon
  4. La Grande
  5. Peer Specialist
  6. NPI Profile

JESSIE G WISE CRM
NPI 1174012041
Peer Specialist in La Grande, OR

Active since May 07, 2018
1501 6TH ST, LA GRANDE, OR 97850(541) 962-0162(541) 962-0162 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessie G Wise Crm NPPES

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

JESSIE G WISE CRM (NPI 1174012041) is an individual peer specialist in La Grande, Oregon, licensed in Oregon (18-CRM-092) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1174012041
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJESSIE G WISECredential: CRM
Location Address1501 6TH STLa Grande, OR 97850-2419
Mailing Address1101 I AveLa Grande, OR 97850-2043 · (541) 962-0162 · Fax (541) 962-0119
Phone(541) 962-0162
Fax(541) 962-0162
Sole ProprietorNo
Enumeration DateMay 7, 2018
✔ NPI 1174012041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 18-CRM-092
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1501 6TH ST, La Grande, OR 97850
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

EASTERN OREGON HEALTH & WELLNESS INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 805-2626
MICHELLE Y FRIZZELL CADC II, CRM
Counselor (Addiction (Substance Use Disorder))
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 805-2626
DOUGLAS WHIPPLE CADC I
Counselor (Addiction (Substance Use Disorder))
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 962-0162
MATTHEW A CHRISTENSEN CRM
Peer Specialist
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 962-0162
AMBER DIEDERICH CADC I, CRM
Counselor (Addiction (Substance Use Disorder))
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 962-0162
ABIGAIL A BROWN CRM
Peer Specialist
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 962-0162
ERICA PEREZ
Peer Specialist
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 962-0162
JESSE CARMICHAEL CRM, CADC R
Counselor (Addiction (Substance Use Disorder))
1501 6TH ST
LA GRANDE, OR 97850
Union County (541) 962-0162

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 Jessie Wise's NPI number?

The NPI number for Jessie Wise is 1174012041. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Jessie Wise located?

Jessie Wise practices at 1501 6th St, La Grande, OR 97850. The listed phone number is (541) 962-0162.

What is Jessie Wise's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jessie Wise was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.