NICOLE R WILDROUDT LPC
NPI 1235526096
Counselor - Professional in Kokomo, IN

Active since April 20, 2015PECOS Enrolled
4104 SPRINGMILL DR, KOKOMO, IN 46902(937) 554-3667 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, May 8, 2020 (2 updates tracked since 2020).

About Nicole R Wildroudt Lpc NPPES

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

NICOLE R WILDROUDT LPC (NPI 1235526096) is an individual professional provider in Kokomo, Indiana, licensed in Arizona (LPC-24135) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235526096
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE R WILDROUDTCredential: LPC
Location Address4104 SPRINGMILL DRKokomo, IN 46902-5168
Mailing Address4104 Springmill DrKokomo, IN 46902-5168 · (937) 554-3667
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1235526096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LPC-24135
4104 SPRINGMILL DR, Kokomo, IN 46902

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole R Wildroudt Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wildroudt's NPI number?

The NPI number for Nicole Wildroudt is 1235526096. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Nicole Wildroudt located?

Nicole Wildroudt practices at 4104 Springmill Dr, Kokomo, IN 46902. The listed phone number is (937) 554-3667.

What is Nicole Wildroudt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Wildroudt enrolled in Medicare?

Yes. Nicole Wildroudt is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Wildroudt accept?

Health plans from CareSource, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Nicole Wildroudt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Wildroudt was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.