Active NPI
James Demaris Wilde, MA, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1386909646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0011242
- Practice address
- 225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653 - Phone
- (312) 971-3457
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0011242 | CO | Primary |
| Professional Counselor | 101YP2500X | 6401226171 | MI | |
| Professional Counselor | 101YP2500X | MHC.LH.61060559 | WA | |
| Professional Counselor | 101YP2500X | 5521 | ID |
Addresses
Primary practice location
225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653
Mailing address
3073 W Pudu St
Meridian, ID 83646-5414
Phone (208) 803-2363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011242 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1386909646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3073 W PUDU ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836465414",
"telephone_number": "208-803-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N MICHIGAN AVE STE 1430",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017653",
"telephone_number": "312-971-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDE",
"first_name": "JAMES",
"middle_name": "DEMARIS",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0011242",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401226171",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "MHC.LH.61060559",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "5521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.