Diane Marie Wildman, MALPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

C-0004924 Issued in OH

Practice address

611 Belmont Ave
Youngstown, OH 44502-1037

Phone

(330) 744-2991

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669599072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18070 CINNAMON TRL",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559560",
            "telephone_number": "440-543-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021037",
            "telephone_number": "330-744-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "MALPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C-0004924",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OH",
            "license": "C-0004924",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "C-0004924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000126040",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL",
            "identifier": "2164381",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn J Wilbon, LSW
• Kendra Jean Wilcox, SLP
• Kelly L Wildes, CDCA-PRE
• Mark Joseph Wildes
• Robert Christopher Wilding Jr.
• Brandon Wilds, PHARMD
• Iesha Wilds
• Marcia Wilkeson, PHYSICAL THERAPIST
• Charles Wilkins, MD
• Christopher Brad Wilkins, BSAS

• Marriage & Family Therapist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.