P Praxis·MD
● Active Type 1 · Individual

Mark Wayne Wiseman, LPC

Counselor·Nampa, ID· NPI 1376847269 · Enumerated 2011 · 15 years on NPI
Wiseman is 1 of 132 counselor providers in Nampa and 1 of 1998 in Idaho.
NPI age
15 years
Enumerated 2011-01-06
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-01Enumerated in NPPES
2011 2026

Where they practice

Practice location
2422 12th Ave Rd, Number 144
Nampa, ID 836866300
📞 2089199706
Mailing address
2422 12th Ave Rd, Number 144
Nampa, ID 836866300
📞 2089199706

Specialties

  • Counselor Primary
    Definition to come...
    ID license #3034 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new counselor providers have been added in Nampa in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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