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MADISON MAE WIESE
NPI 1457065963
Peer Specialist in Jay, OK

Active since January 09, 2023
1015 W WASHBOURNE ST, JAY, OK 74346(844) 458-2100 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Mae Wiese NPPES

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

MADISON MAE WIESE (NPI 1457065963) is an individual peer specialist in Jay, Oklahoma and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1457065963
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMADISON MAE WIESE
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address1015 W Washbourne StJay, OK 74346-4205
Phone(844) 458-2100
Sole ProprietorNo
Enumeration DateJanuary 9, 2023
NPPES CertifiedJanuary 9, 2023
✔ NPI 1457065963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
1015 W WASHBOURNE ST, Jay, OK 74346
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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.

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ANDREW C WICKLINE
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 868-7489
ELIZABETH BUCHANAN
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
MRS. KRISTEN LEANN BOLDRA
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696

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 Madison Wiese's NPI number?

The NPI number for Madison Wiese is 1457065963. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Madison Wiese located?

Madison Wiese practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (844) 458-2100.

What is Madison Wiese'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 Madison Wiese was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.