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

Mr. Jordan Kent Wiles, SSP, NCSP

Individual provider School Psychologist · NPI 1770095119

Mr. Jordan Kent Wiles, SSP, NCSP is a School Psychologist in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

807 N Mattis Ave
Champaign, IL 61821-2448
Phone: (618) 919-0408
Fax: (618) 919-0408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X (IL)

Record details

NPI number1770095119
Entity typeIndividual (Type 1)
GenderMale
Credentials SSP , NCSP
Sole proprietorYes
NPI enumeratedOctober 25, 2017
Last updated in NPPESOctober 25, 2017

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