Active NPIIndividual providerSole proprietor

Wilanda Nicolas, LPC

Counselor, Mental Health in Clark, New Jersey

NPI Number1265206809
Practice location
100 Walnut Ave Ste 210, Clark, NJ 07066-1269
Fax
—
Last updated
November 3, 2026

Wilanda Nicolas is a Counselor, Mental Health based in Clark, NJ. Wilanda Nicolas practices in Clark, NJ and has the professional credentials of LPC. The NPI Number for Wilanda Nicolas is 1265206809 and holds a License No. 37PC01129600 (NJ). The current practice location address for Wilanda Nicolas is 100 Walnut Ave Ste 210, Clark, NJ 07066-1269 and can be reached out via phone at 917-722-1266.

Provider Profile Details

NPI Number
1265206809
Provider Name
Wilanda Nicolas
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
100 Walnut Ave Ste 210, Clark, NJ 07066-1269
Phone Number
917-722-1266
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2023
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Walnut Ave Ste 210
Clark, NJ 07066-1269
City
Clark
Zip
07066-1269
Phone Number
917-722-1266
Clark, NJ 07066Get directions →

Provider Business Mailing Address Details

Address
100 Walnut Ave Ste 210
Clark, NJ 07066-1269
City
Clark
State
NJ
Zip
07066-1269
Phone Number
917-722-1266

License Information

Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
37PC01129600
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary
Taxonomy (3)
Counselor, Pastoral · 101YP1600X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wilanda Nicolas, LPC?

The NPI number of Wilanda Nicolas, LPC is 1265206809. It was assigned on November 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Wilanda Nicolas, LPC?

Wilanda Nicolas, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC01129600.

Where does Wilanda Nicolas, LPC practice?

The practice location is 100 Walnut Ave Ste 210, Clark, NJ 07066-1269. The office can be reached at 917-722-1266 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265206809 directly on the NPPES registry website.

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