Active NPI
Virginia Cuthbert Wilder, M. ED.
- Marriage & Family Therapist
- Summerville, SC
National Provider Identifier
1568655512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1331
- Practice address
- 130 Linwood LN
Summerville, SC 29483-4327 - Phone
- (843) 871-9697
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1330 | SC | |
| Marriage & Family Therapist | 106H00000X | 1331 | SC | Primary |
Addresses
Primary practice location
130 Linwood LN
Summerville, SC 29483-4327
Mailing address
130 Linwood LN
Summerville, SC 29483-4327
Phone (843) 871-9697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1330 | SC | MD | Professional Counselor |
| 1331 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1568655512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 LINWOOD LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294834327",
"telephone_number": "843-871-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LINWOOD LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294834327",
"telephone_number": "843-871-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "VIRGINIA",
"middle_name": "CUTHBERT",
"credential": "M. ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1330",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "1331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.