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JILES LEE WALLACE RADT
NPI 1942187067
Counselor - Addiction (Substance Use Disorder) in San Francisco, CA

Active since August 20, 2025
890 HAYES ST, SAN FRANCISCO, CA 94117(415) 762-3700(415) 865-0119 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jiles Lee Wallace Radt NPPES

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

JILES LEE WALLACE RADT (NPI 1942187067) is an individual addiction (substance use disorder) provider in San Francisco, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1942187067
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJILES LEE WALLACECredential: RADT
Location Address890 HAYES STSan Francisco, CA 94117-2615
Mailing Address1563 Mission StSan Francisco, CA 94103-2543 · (415) 762-3700 · Fax (415) 865-0119
Phone(415) 762-3700
Fax(415) 865-0119
Sole ProprietorYes
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1942187067 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
890 HAYES ST, San Francisco, CA 94117
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Other Names 1

Professional Name (2)Jiles Lee Wallace Radt

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.

WHITNEY NELSON RN, PHN
Registered Nurse
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 419-4338
ALAN TOOMEY
Counselor (Addiction (Substance Use Disorder))
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 919-5510
NICOLE RENEE BRADFORD LVN
Licensed Vocational Nurse
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 762-3700
RAYMOND ANTHONY HILL
Counselor (Addiction (Substance Use Disorder))
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 762-3700
CRISTIN MARIE BROWN RN
Registered Nurse
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 762-3705
ROISIN MAY WHALEN RN
Registered Nurse
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 762-3800
KIMBERLY JADE MCBRIDE
Counselor (Addiction (Substance Use Disorder))
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 806-4358
MR. GEORGE LEE CARPENTER
Health and Wellness Coach
890 HAYES ST
SAN FRANCISCO, CA 94117
San Francisco County (415) 701-5153

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 Jiles Wallace's NPI number?

The NPI number for Jiles Wallace is 1942187067. It was assigned to this individual provider in the NPPES registry on August 20, 2025. The provider is also known as Jiles Lee Wallace Radt.

Where is Jiles Wallace located?

Jiles Wallace practices at 890 Hayes St, San Francisco, CA 94117. The listed phone number is (415) 762-3700.

What is Jiles Wallace'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 Jiles Wallace was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.