Active NPI
Christel Wilder, MS
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1144716168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61229646
- Practice address
- 621 Pacific Ave Ste 17
Tacoma, WA 98402-4699 - Phone
- (254) 368-1675
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61229646 | WA | Primary |
Addresses
Primary practice location
621 Pacific Ave Ste 17
Tacoma, WA 98402-4699
Mailing address
7214 Perry Ave SE
Auburn, WA 98092-7714
Phone (254) 368-1675
Other names 1
- Christel Wilder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF61229646 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1144716168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7214 PERRY AVE SE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980927714",
"telephone_number": "254-368-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 PACIFIC AVE STE 17",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024699",
"telephone_number": "254-368-1675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "CHRISTEL",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61229646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTEL",
"last_name": "WILDER",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.