Ilana Wahlder, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2464 Issued in LA

Practice address

3706 Bon Aire Dr
Monroe, LA 71203-3009

Phone

(318) 374-8697

NPI assigned

Apr 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Wahlder Counseling and Wellness LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1477331353
  NPD Authorized official

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1376860320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 JOE WHITE RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032976",
            "telephone_number": "318-366-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 BON AIRE DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033009",
            "telephone_number": "318-374-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLDER",
        "first_name": "ILANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "2464",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2464",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin C Wade, M.D.
• Nancy M Wade, M.A., CCC-A
• Arika Wadley
• Mervat Atalla Wahba, MD
• Wahlder Counseling and Wellness LLC
• Vera Wainwright
• Wal-Mart Pharmacy
• Wal-Mart Stores East , LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.