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JACKIE WISEMAN
NPI 1184486441
Counselor - Addiction (Substance Use Disorder) in Brookings, OR

Active since January 23, 2024
615 5TH ST # 300, BROOKINGS, OR 97415(877) 408-8941 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Wiseman NPPES

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

JACKIE WISEMAN (NPI 1184486441) is an individual addiction (substance use disorder) provider in Brookings, Oregon and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1184486441
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE WISEMAN
Location Address615 5TH ST # 300Brookings, OR 97415-9199
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(877) 408-8941
Sole ProprietorNo
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1184486441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
615 5TH ST # 300, Brookings, OR 97415
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Other Providers at the Same Location NPPES 20

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

KATRINA JEANNINE WEST QMHP
Counselor (Professional)
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (541) 708-9580
HAYLEE C BUTLER
Counselor (Mental Health)
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941
SANDIE LOUISE MCCRACKEN CADC II, AAS
Counselor (Addiction (Substance Use Disorder))
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941
DEANN SHAW
Counselor (Mental Health)
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941
NATHAN GOTTEN
Peer Specialist
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941
KAYCI MICHELE JONES
Counselor (Mental Health)
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941
KIANA L HENDRIX
Counselor (Mental Health)
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941
CAITLIN J VANCE
Peer Specialist
615 5TH ST # 300
BROOKINGS, OR 97415
Curry County (877) 408-8941

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 Wiseman's NPI number?

The NPI number for Jackie Wiseman is 1184486441. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Jackie Wiseman located?

Jackie Wiseman practices at 615 5th St # 300, Brookings, OR 97415. The listed phone number is (877) 408-8941.

What is Jackie Wiseman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Wiseman was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.