NIC WILDES LMHC NPI 1881732618

NPI Information

  • NPI: 1881732618
  • Provider Name: NIC WILDES, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 12 SEWALL AVE
    BROOKLINE, MA
    ZIP 02446
  • Phone: (617) 203-7082

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NPI Details

Nic Wildes, LMHC is a mental health counselor in Brookline, MA. Nic Wildes, LMHC NPI is 1881732618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 SEWALL AVE
BROOKLINE, MA
ZIP 02446-102
Phone: (617) 203-7082

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health6217MASSACHUSETTSYes
2101YM0800XCounselorMental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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