Organization Active NPI

Wil to Wellness

  • Mental Health Counselor
  • Clark, NJ
National Provider Identifier
1497610059
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WIL TO WELLNESS
Practice address
100 Walnut Ave
Clark, NJ 07066-1253
Phone
(917) 722-1266
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Wilanda Nicolas, LPCNPI 1265206809
Title
Managing Member
Phone
(917) 722-1266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 Walnut Ave
Clark, NJ 07066-1253

Mailing address

100 Walnut Ave
Clark, NJ 07066-1253
Phone (917) 722-1266

National Provider Directory

National Provider Directory

Locations

100 Walnut Ave
Clark, NJ 07066
Phone (917) 722-1266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1497610059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661253",
            "telephone_number": "917-722-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661253",
            "telephone_number": "917-722-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIL TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "WILANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-722-1266",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.