Austen Wilde, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5932 NE Glisan St
Portland, OR 97213-3754

Phone

(503) 567-8682

Fax

(855) 975-2656

NPI assigned

Nov 20, 2013

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Pursuit of Wellness, LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1164176038
  NPD

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1902236383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "MAGALIA",
            "state": "CA",
            "postal_code": "959540117",
            "telephone_number": "503-567-8682",
            "fax_number": "855-975-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133754",
            "telephone_number": "503-567-8682",
            "fax_number": "855-975-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "AUSTEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wild Naturopathic
• Wild Open Being, LLC
• Wild Perennial Therapy LLC
• Katherine Versenyi Wild, PHD
• Lucy Marden Wild, RD
• Darcy Wilde, MSW, LCSW
• Lance Christopher Wilde
• Morgan Wilde
• Rosyln Contessla Wilde, LCSW
• Alison M Wilder, D.C.

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.