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BRADLEY G. WISE LICDC-CS
NPI 1194139980
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Active since June 19, 2014
1150 N MAIN ST, MANSFIELD, OH 44903(419) 526-2000(419) 524-8022 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley G. Wise Licdc-cs NPPES

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

BRADLEY G. WISE LICDC-CS (NPI 1194139980) is an individual addiction (substance use disorder) provider in Mansfield, Ohio, licensed in Ohio (954172) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1194139980
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRADLEY G. WISECredential: LICDC-CS
Location Address1150 N MAIN STMansfield, OH 44903-9718
Mailing AddressPo Box 788Mansfield, OH 44901-0788 · (419) 526-2000 · Fax (419) 524-8022
Phone(419) 526-2000
Fax(419) 524-8022
Sole ProprietorNo
Enumeration DateJune 19, 2014
✔ NPI 1194139980 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
License✔ Licensed in OH · 954172
1150 N MAIN ST, Mansfield, OH 44903
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Other Providers at the Same Location NPPES 5

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

DR. ELLEN F. STARK PH.D.
Psychologist (Cognitive & Behavioral)
1150 N MAIN ST
MANSFIELD, OH 44903
Richland County (419) 525-4455
JESSE W GLASS CNP
Nurse Practitioner (Family)
1150 N MAIN ST
MANSFIELD, OH 44903
Richland County (740) 361-9355
HAROUT MICHAEL TABRIZI
Counselor (Professional)
1150 N MAIN ST
MANSFIELD, OH 44903
Richland County (419) 525-4455
DR. RONALD JAKOB BAUMANN D.D.S.
Dentist
1150 N MAIN ST
MANSFIELD, OH 44903
Richland County (419) 525-4455
TINA LOUISE HEINDEL LICDC
Counselor (Addiction (Substance Use Disorder))
1150 N MAIN ST
MANSFIELD, OH 44903
Richland County (419) 610-2859

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 Bradley Wise's NPI number?

The NPI number for Bradley Wise is 1194139980. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Bradley Wise located?

Bradley Wise practices at 1150 N Main St, Mansfield, OH 44903. The listed phone number is (419) 526-2000.

What is Bradley Wise'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 Bradley Wise was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.