Billie Nicole Wilder, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

174900 Issued in KY

Practice address

1255 Providence Place Pkwy Ste 115
Lexington, KY 40511-8379

Phone

(216) 468-5000

NPI assigned

Aug 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Kentucky Services, LLC

  • Marriage & Family Therapist
  • Lexington, KY
  • NPI 1609448059
  Medicare reassignment NPD
• Kentucky Services, LLC

  • Primary Care Nurse Practitioner
  • Lexington, KY
  • NPI 1811602832
  NPD
• Sakura Behavioral Health LLC

  • Professional Counselor
  • Nicholasville, KY
  • NPI 1326663766
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1356657571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PROVIDENCE PLACE PKWY STE 115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118379",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Quinn Dr",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403561370",
            "country_code": "US",
            "telephone_number": "859-241-3085",
            "fax_number": "877-712-3835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Belinda Blvd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404223217",
            "country_code": "US",
            "telephone_number": "866-755-4258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "BILLIE",
        "middle_name": "NICOLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "174900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "174900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100496630",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "CS2028300325",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wild Health at Proof LLC
• Wild Health Uri Clinic, LLC
• Wild Health, Inc.
• Ashley Wild
• Wildcat Pharmacist Group LLC
• Luke Justin Wilder, MD
• Mitchell Wilder, OT
• Sarah Wilder, RD
• Rebecca Wildes
• Robert Jay Wildman, PA-C

• Professional Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.