Wilanda Nicolas, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC01129600 Issued in NJ

Practice address

100 Walnut Ave
Clark, NJ 07066-1253

Phone

(917) 722-1266

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
  • NPI 1245637578

  Single Specialty

  Medicare reassignment NPD
• Wil to Wellness

  • Mental Health Counselor
  • Clark, NJ
  • NPI 1497610059
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1265206809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661253",
            "telephone_number": "917-722-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661253",
            "telephone_number": "917-722-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "WILANDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01129600",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alexander Neveloff, O.D.
• New Jersey CVS Pharmacy LLC
• New Jersey CVS Pharmacy LLC
• New Jersey Digestive Disease Associates, PC
• New Jersey Podiatric Physicians & Surgeons Group, LLC
• Nikita Varshneya, M.D P.a
• Nicholas Nolan, PT, DPT
• North East Medical Associates PC
• Northeast Spine & Wellness Center LLC
• Michael Nourbakhsh, D.D.S

• Mental Health Counselor in Clark, NJ
• Providers in Clark, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.