Active NPI
Wil to Wellness
- Mental Health Counselor
- Clark, NJ
National Provider Identifier
1497610059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilanda Nicolas, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Clark, NJ
- NPI 1265206809
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.