Linda Wilder, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0003682 Issued in CO

Practice address

4318 Sumac LN
Bellingham, WA 98226-8207

Phone

(360) 389-3283

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lin Wilder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1184342495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 SUMAC LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268207",
            "telephone_number": "970-217-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 SUMAC LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268207",
            "telephone_number": "360-389-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "LINDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MX61344486",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0003682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIN",
            "last_name": "WILDER",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madison Wieking
• Michelle Wiklund, M.A., CF-SLP
• Elizabeth E Wilbur, CPC
• Jessica Lois Wilcox, OTR
• Wild Geese Sanctuary P.L.L.C.
• Dee A Wildermuth, ARNP
• Joan R Wildfield, M.A., L.M.H.C.
• Cheyanne Elizabeth Wileman, RDH, BSDH
• Susan Wiley-Bridges, PHARMD
• John Michael Wiley, MSW

• Professional Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.