Emily Wilde

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10535 N Port Washington Rd Ste 204
Mequon, WI 53092-5560

Phone

(262) 421-5101

NPI assigned

Dec 23, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emili Wilde Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Forward Family Therapy, LLC

  • Mental Health Counselor
  • Mequon, WI
  • NPI 1487293858
  NPD

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1790640571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W57N727 HAWTHORNE AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 N PORT WASHINGTON RD STE 204",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925560",
            "telephone_number": "262-421-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILI",
            "last_name": "WILDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wholehearted Integrative Bodymind Therapies LLC
• Mary Beth Wick, O.T.R.
• Laila Wiechmann
• Christine Wielgos, LCSW
• Nancy Wiener, PT
• Wildstone Wellness, LLC
• Alexandra Dutton Wilk, LCSW
• Aubrey Wilke
• Audrey Martha Wilkens, OTR
• Martha M Williams, RPH

• Mental Health Counselor in Mequon, WI
• Providers in Mequon, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.