Wilder Theory PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILDER THEORY PLLC

Practice address

3505 Greenmeadow LN
Joliet, IL 60431-4807

Phone

(779) 707-0597

NPI assigned

Oct 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theodore WilderNPI 1851911127

Title

LCPC/Director

Phone

(779) 707-0597

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Ryker Wilder, LCPC

  • Professional Counselor
  • Joliet, IL
  • NPI 1851911127
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1144092289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 GREENMEADOW LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604314807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 GREENMEADOW LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604314807",
            "telephone_number": "779-707-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER THEORY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "LCPC/DIRECTOR",
        "authorized_official_telephone_number": "779-707-0597"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Life Care LLC
• Wible Family Chiropractic
• Ryan M Wible, DC
• Lesley J Widmer, LCPC
• James McDonald Wilcox, DDS
• Theodore Ryker Wilder, LCPC
• Jacob Wilk
• Will County Community Health Center
• Will County Community Health Center
• Will County Community Health Center at Will County Health Department

• Mental Health Clinic/Center (Including Community Mental Health Center) in Joliet, IL
• Providers in Joliet, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.