Active NPI
Stephanie Gidley Wilds, MS, LPC, NCC
- Mental Health Counselor
- Gulf Shores, AL
National Provider Identifier
1992536908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC05325
- Practice address
- 2200 W 2ND St Apt A203
Gulf Shores, AL 36542-3639 - Phone
- (251) 200-3050
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC05325 | AL | Primary |
Addresses
Primary practice location
2200 W 2ND St Apt A203
Gulf Shores, AL 36542-3639
Mailing address
PO Box 6785
Gulf Shores, AL 36547-6785
Phone (251) 200-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1015 Montlimar Dr
Mobile, AL 36609-1713
Phone (251) 450-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05325 | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems, Inc. | Current | Accepting new patients |
Locations
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
-
- Federally Qualified Health Center (FQHC)
- Foley, AL
- NPI 1003707332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1992536908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6785",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365476785",
"telephone_number": "251-200-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W 2ND ST APT A203",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365423639",
"telephone_number": "251-200-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDS",
"first_name": "STEPHANIE",
"middle_name": "GIDLEY",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "LPC05325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Shores, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.