Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Wayne Wiseman, LPC

Individual provider Mental Health Counselor · NPI 1376847269

Mark Wayne Wiseman, LPC is a Mental Health Counselor in Nampa, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2422 12th Ave Rd Number 144
Nampa, ID 83686-6300
Phone: (208) 919-9706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3034 (ID)

Record details

NPI number1376847269
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJanuary 6, 2011
Mailing address2422 12th Ave Rd, Number 144, Nampa, ID 83686-6300

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