Individual provider Active NPI

David N Wilde, M.A., L.P.C.

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1467581363
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2006038842 Issued in MO
Practice address
12166 Old Big Bend Rd
Ste 307
Saint Louis, MO 63122-6844
Phone
(314) 258-6184
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2006038842 MO Primary

Addresses

Primary practice location

12166 Old Big Bend Rd
Ste 307
Saint Louis, MO 63122-6844

Mailing address

12166 Old Big Bend Rd Ste 204
Saint Louis, MO 63122-6836
Phone (314) 822-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240905004018 MO Practitioner - Mental Health Counselor 2062952948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Christian Counseling, LLCGroup PAC ID 9335689215, 3 clinicians

Practice addresses (Care Compare)

12166 Old Big Bend Rd
Suite 204
Kirkwood, MO 63122-6836
Phone (314) 822-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2006038842MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Christian Counseling, LLC Professional CurrentSince Jul 10, 2024 Accepting new patients

Locations

12166 Old Big Bend Rd
Ste 307
Saint Louis, MO 63122
Phone (314) 258-6184

12166 Old Big Bend Rd
Ste 204
Saint Louis, MO 63122
Phone (314) 822-8888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1467581363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-822-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD",
            "address_2": "STE 307",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226844",
            "telephone_number": "314-258-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006038842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.