MARK WAYNE WISEMAN LPC
NPI 1376847269
Counselor - Mental Health in Nampa, ID

Active since January 06, 2011
2422 12TH AVE RD, NUMBER 144, NAMPA, ID 83686(208) 919-9706 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Wayne Wiseman Lpc NPPES

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

MARK WAYNE WISEMAN LPC (NPI 1376847269) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (3034) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1376847269
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK WAYNE WISEMANCredential: LPC
Location Address2422 12TH AVE RD, NUMBER 144Nampa, ID 83686-6300
Mailing Address2422 12th Ave Rd, Number 144Nampa, ID 83686-6300 · (208) 919-9706
Sole ProprietorYes
Enumeration DateJanuary 6, 2011
NPI 1376847269 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 · 3034
2422 12TH AVE RD, Nampa, ID 83686

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.

Local Education Agency (LEA)
2422 12TH AVE RD, #225
NAMPA, ID 83686
Clinic/Center (Physical Therapy)
2422 12TH AVE RD
NAMPA, ID 83686
Physical Therapist
2422 12TH AVE RD
NAMPA, ID 83686
Community/Behavioral Health
2422 12TH AVE RD, 144
NAMPA, ID 83686
Physical Therapist
2422 12TH AVE RD
NAMPA, ID 83686

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 Mark Wiseman's NPI number?

The NPI number for Mark Wiseman is 1376847269. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Mark Wiseman located?

Mark Wiseman practices at 2422 12th Ave Rd Number 144, Nampa, ID 83686. The listed phone number is (208) 919-9706.

What is Mark Wiseman'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 Mark Wiseman was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.