Kristine Lynnette Wilder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

128819 Issued in IA

Practice address

817 4TH Ave
Grinnell, IA 50112-2042

Phone

(641) 323-2729

Fax

(888) 920-1276

NPI assigned

Oct 30, 2024

Sex

Female

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/yss/r4/

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.

• Hope Family Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grinnell, IA
  • NPI 1861044406
  NPD
• Youth and Shelter Services, Inc.

  • Counselor
  • Ames, IA
  • NPI 1841357894

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1427870401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122042",
            "telephone_number": "888-920-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122042",
            "telephone_number": "641-323-2729",
            "fax_number": "888-920-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E Linn St",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501582849",
            "country_code": "US",
            "telephone_number": "641-323-2729",
            "fax_number": "888-920-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "KRISTINE",
        "middle_name": "LYNNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "128819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Jeffrey Scott Wells, LMFT
• Jacqueline Ann Weydert, LISW
• Savannah Wheeler, MS
• Joseph Whitman, DO

• Mental Health Counselor in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.