HOLLY WILDER
NPI 1164973244
Counselor in Seattle, WA

Active since October 24, 2016PECOS Enrolled
11000 LAKE CITY WAY NE, SEATTLE, WA 98125(206) 545-2320(206) 634-3596 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Wilder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY WILDER (NPI 1164973244) is an individual counselor in Seattle, Washington, licensed in Washington (MC60871044) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164973244
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameHOLLY WILDER
Location Address11000 LAKE CITY WAY NESeattle, WA 98125
Mailing Address11000 Lake City Way NeSeattle, WA 98125-6748 · (206) 545-2320 · Fax (206) 634-3596
Fax(206) 634-3596
Sole ProprietorNo
Enumeration DateOctober 24, 2016
Last NPPES UpdateMarch 29, 2019
NPI 1164973244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · MC60871044
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MC60871044 (WA)
11000 LAKE CITY WAY NE, Seattle, WA 98125

Medicare Participation & PECOS Enrollment Status

Holly Wilder is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for HOLLY WILDER

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Social Worker
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Social Worker
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor (Mental Health)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Peer Specialist
11000 LAKE CITY WAY NE, SUITE 300
SEATTLE, WA 98125
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Case Manager/Care Coordinator
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor (Mental Health)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor (Addiction (Substance Use Disorder))
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Case Manager/Care Coordinator
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor (Mental Health)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Case Manager/Care Coordinator
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Case Manager/Care Coordinator
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor (Professional)
11000 LAKE CITY WAY NE
SEATTLE, WA 98125
Counselor
11000 LAKE CITY WAY NE
SEATTLE, WA 98125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164973244, enumerated as an "individual" on October 24, 2016.

The provider is located at 11000 LAKE CITY WAY NE SEATTLE, WA 98125 and the phone number is (206) 545-2320.

Counselor with taxonomy code 101Y00000X.