IndividualActive
Stacy Wise
NPI 1669957007 · Addiction (Substance Use Disorder) Counselor · Oak Bluffs, MA
Provider details
- NPI number
- 1669957007
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Edgartown Road
Oak Bluffs, MA 02557
Phone: (508) 693-7900
Approximate (ZIP-level) locationGet directions
Mailing address
111 Edgartown Rd
Vineyard Haven, MA 02568-5699
Registry dates
- Enumerated
- 2018-10-02
- Last updated
- 2018-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.