NICOLE R WILDROUDT LPCC
NPI 1235526096
Counselor - Professional in Kokomo, IN
About Nicole R Wildroudt Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE R WILDROUDT LPCC (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 and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Nicole R Wildroudt Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole R Wildroudt, LPCC · NPI 1235526096
Professional provider in Kokomo, Indiana. Individual provider, active in the CMS NPPES registry since April 20, 2015.
## Identity
- **NPI:** 1235526096 (Entity type: Individual)
- **Enumerated:** April 20, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-24135 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4104 SPRINGMILL DR, Kokomo, IN 46902-5168
- **Phone:** (937) 554-3667
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235526096) · Data from the CMS NPPES public registry.