Nicole Shannon Wildes, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007057 Issued in PA

Practice address

50 Mount Zion Rd
2ND Floor
York, PA 17402-2635

Phone

(717) 887-5898

NPI assigned

Aug 12, 2013

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

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.

• Becoming Counseling and Consulting, LLC

  • Mental Health Counselor
  • Romansville, PA
  • NPI 1780564138

  Professional

  NPD Authorized official
• Wishful Living Counseling Services, LLC

  • Professional Counselor
  • York, PA
  • NPI 1144655929
  NPD (past) Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1568895738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 KIMBERLY LN",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173155420",
            "telephone_number": "717-887-5898",
            "fax_number": "717-840-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT ZION RD",
            "address_2": "2ND FLOOR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022635",
            "telephone_number": "717-887-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDES",
        "first_name": "NICOLE",
        "middle_name": "SHANNON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Kelii Wilcox, MD
• Paul F Wilczak, PHD
• Wendy Elizabeth Wild, PSYD
• Meaghan Eileen Wildasin, LAT, ATC
• Kimberly Wilder, MS
• Michelle M Wile, CRNP
• Christopher D Wilhide, PA-C
• Jennifer Catharine Wilke, CRNP
• Carly Wilker
• Nathaniel Wilker, OTR

• Professional Counselor in York, PA
• Providers in York, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.