1. Home
  2. Directory
  3. Illinois
  4. Maryville
  5. Counselor
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TAELOR WISE LCPC
NPI 1194645861
Counselor - Mental Health in Maryville, IL

Active since July 21, 2026
3 OAK DR STE B, MARYVILLE, IL 62062(618) 972-1568(618) 205-3561 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Taelor Wise Lcpc NPPES

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

TAELOR WISE LCPC (NPI 1194645861) is an individual mental health provider in Maryville, Illinois, licensed in Illinois (180018327) and active in the NPI registry since July 2026. She maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1194645861
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAELOR WISECredential: LCPC
Location Address3 OAK DR STE BMaryville, IL 62062-5635
Mailing Address3 Oak Dr Ste BMaryville, IL 62062-5635 · (618) 972-1568 · Fax (618) 205-3561
Phone(618) 972-1568
Fax(618) 205-3561
Sole ProprietorNo
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1194645861 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 IL · 180018327
3 OAK DR STE B, Maryville, IL 62062
Open in Google Maps ↗

Secondary Practice Location 1

Location 17348 State Route 162Troy, IL 62294-3367 · Phone (618) 972-1568 · Fax (618) 205-3561

Other Providers at the Same Location NPPES 16

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

ELIZABETH MARX
Marriage & Family Therapist
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 972-1568
MARY BENHOFF LPC
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 972-1568
HEATHER RAE MERKLE LCPC
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 972-1568
APRIL DENISE LACEY LCPC
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 972-1568
MRS. BRANDI GARLICH LCSW
Social Worker (Clinical)
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (217) 549-5889
KENNETH KUBICEK PHD, LCPC
Psychologist
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 972-1568
JEAN MCGURK O'BRIEN M.A., LCPC, NCC
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 514-1386
MATTHEW A WILKINSON LCPC
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Madison County (618) 972-1568

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 Taelor Wise's NPI number?

The NPI number for Taelor Wise is 1194645861. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Taelor Wise located?

Taelor Wise practices at 3 Oak Dr Ste B, Maryville, IL 62062. The listed phone number is (618) 972-1568.

What is Taelor 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 Taelor Wise was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.