Evelyn Iris Wilder, LPC-MH, QMHP, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-MH2289 Issued in SD

Practice address

529 Kansas City St
Rapid City, SD 57701-3693

Phone

(605) 348-6086

Fax

(605) 348-1050

NPI assigned

Jan 15, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Catholic Social Services

  • Community/Behavioral Health Agency
  • Rapid City, SD
  • NPI 1528289766
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1417294133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 EVEREST RD",
            "address_2": "LOT 48",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029638",
            "telephone_number": "605-348-6086",
            "fax_number": "605-348-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013693",
            "telephone_number": "605-348-6086",
            "fax_number": "605-348-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "EVELYN",
        "middle_name": "IRIS",
        "credential": "LPC-MH, QMHP, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "12091537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wiedmeier, OT
• Bryant Wieking, PA
• Carol Wiese, DDS
• Trina Wilcken, MS, LPC-MH
• Darlene Marie Wilcox, PH.D., LP
• Carolyn Sue Wildhaber, CSW-PIP
• Wilen Dentistry PLLC
• Kristen Miranda Wilen, MA, SLP
• Patricia Wiles, CMA
• Kelly R Wiley, BS MLS (ASCP)

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.