A Wilder Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A WILDER COUNSELING

Practice address

215 First St
Garfield, KS 67529-2976

Phone

(620) 804-2942

NPI assigned

Jan 17, 2021

Last updated

Jan 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Nicole Wilder, LCPC, LACNPI 1942574512

Title

Clinical Professional Counselor

Phone

(620) 804-2942

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber N Wilder, LCPC, LAC

  • Professional Counselor
  • Henderson, NV
  • NPI 1942574512

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1639768369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "GARFIELD",
            "state": "KS",
            "postal_code": "675290042",
            "telephone_number": "620-804-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FIRST ST",
            "city": "GARFIELD",
            "state": "KS",
            "postal_code": "675292976",
            "telephone_number": "620-804-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WILDER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "620-804-2942",
        "authorized_official_credential": "LCPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thon Arlyn Basom, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Garfield, KS
• Providers in Garfield, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.