Wilder Hart, LADC, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC4335 Issued in ME

Practice address

10 Caldwell Rd
Augusta, ME 04330-5735

Phone

(207) 626-3448

Fax

(207) 621-6228

NPI assigned

Feb 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crisis and Counseling Centers, Inc.

  • Mental Health Counselor
  • Augusta, ME
  • NPI 1558382747

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1295067734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043320558",
            "telephone_number": "207-626-3448",
            "fax_number": "207-621-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALDWELL RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305735",
            "telephone_number": "207-626-3448",
            "fax_number": "207-621-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "WILDER",
        "credential": "LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Harriman
• Ryan Paul Harrington, D.M.D.
• Jodie Lynn Hart, LADC
• Ronald D Hart, MD
• Stephen Michael Hart, PMHNP
• Abbie Hartford, LCSW
• Dannielle Hartford, CADC
• Hasenfus Family Dental, LLC
• Nicole Anne Hasenfus, D.D.S.
• Jill Christina Haskell, ATC, CSCS

• Addiction (Substance Use Disorder) Counselor in Augusta, ME
• Providers in Augusta, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.