MR. JORDAN KENT WILES SSP, NCSP
NPI 1770095119
Psychologist - School in Champaign, IL

Active since October 25, 2017
807 N MATTIS AVE, CHAMPAIGN, IL 61821(618) 919-0408(618) 919-0408 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jordan Kent Wiles Ssp, Ncsp NPPES

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

MR. JORDAN KENT WILES SSP, NCSP (NPI 1770095119) is an individual school provider in Champaign, Illinois and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1770095119
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMR. JORDAN KENT WILESCredential: SSP, NCSP
Location Address807 N MATTIS AVEChampaign, IL 61821-2448
Mailing Address807 N Mattis AveChampaign, IL 61821-2448 · (618) 919-0408
Fax(618) 919-0408
Sole ProprietorYes
Enumeration DateOctober 25, 2017
NPI 1770095119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
807 N MATTIS AVE, Champaign, IL 61821

Other Providers at the Same Location NPPES 2

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

Psychologist (School)
807 N MATTIS AVE
CHAMPAIGN, IL 61821
Psychologist (School)
807 N MATTIS AVE
CHAMPAIGN, IL 61821

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 Jordan Wiles's NPI number?

The NPI number for Jordan Wiles is 1770095119. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Jordan Wiles located?

Jordan Wiles practices at 807 N Mattis Ave, Champaign, IL 61821. The listed phone number is (618) 919-0408.

What is Jordan Wiles's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Jordan Wiles was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.