Nic Wildes, LMHC
Counselor, Mental Health in Brookline, Massachusetts
1881732618- Practice location
- 12 Sewall Ave, Brookline, MA 02446-5102
- Phone
- 617-203-7082
- Fax
- —
- Last updated
- August 24, 2023
Nic Wildes is a Counselor, Mental Health based in Brookline, MA. Nic Wildes practices in Brookline, MA and has the professional credentials of LMHC. The NPI Number for Nic Wildes is 1881732618 and holds a License No. 6217 (MA). The current practice location address for Nic Wildes is 12 Sewall Ave, Brookline, MA 02446-5102 and can be reached out via phone at 617-203-7082.
Provider Profile Details
- NPI Number
- 1881732618
- Provider Name
- Nic Wildes
- Credential
- LMHC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Sewall Ave, Brookline, MA 02446-5102
- Phone Number
- 617-203-7082
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Other Names
- -- Nicole Marie Wildes, LMHC (Former Name)
- Provider Enumeration Date
- February 2, 2007
- Last Update Date
- August 24, 2023
- Certification Date
- August 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Sewall Ave
Brookline, MA 02446-5102 - City
- Brookline
- State
- Massachusetts
- Zip
- 02446-5102
- Phone Number
- 617-203-7082
Provider Business Mailing Address Details
- Address
- Po Box 1321
Easthampton, MA 01027-5321 - City
- Easthampton
- State
- MA
- Zip
- 01027-5321
License Information
- License Number (1)
- 6217
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Brookline, MA
View all Counselor, Mental Health providers in Brookline →- Ms. Donna O'Brien, LMHCCounselor, Mental Health · NPI 1174651277
- Shubh Agrawal, MED, CASCounselor, Mental Health · NPI 1871262436
- William Dempsey, LICSWSocial Worker, Clinical · NPI 1679070429
- Jonathan S Abrams, LICSWSocial Worker, Clinical · NPI 1285916007
- Tanner L Glen, LICSWSocial Worker, Clinical · NPI 1154140150
- Dr. Raymond A Isidro Vega, MD, PHDPathology, Anatomic Pathology · NPI 1609322247
Frequently Asked Questions
What is the NPI number of Nic Wildes, LMHC?
The NPI number of Nic Wildes, LMHC is 1881732618. It was assigned on February 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Nic Wildes, LMHC?
Nic Wildes, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 6217.
Where does Nic Wildes, LMHC practice?
The practice location is 12 Sewall Ave, Brookline, MA 02446-5102. The office can be reached at 617-203-7082 (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 1881732618 directly on the NPPES registry website.