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JOHN C WILDE MA, LAC
NPI 1245631712
Counselor - Addiction (Substance Use Disorder) in Fort Collins, CO

Active since September 15, 2014
125 CRESTRIDGE ST, FORT COLLINS, CO 80525(970) 494-9761 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John C Wilde Ma, Lac NPPES

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

JOHN C WILDE MA, LAC (NPI 1245631712) is an individual addiction (substance use disorder) provider in Fort Collins, Colorado, licensed in Colorado (ACD.0000026) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1245631712
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN C WILDECredential: MA, LAC
Location Address125 CRESTRIDGE STFort Collins, CO 80525-3934
Mailing Address125 Crestridge StFort Collins, CO 80525-3934 · (970) 494-9761
Phone(970) 494-9761
Sole ProprietorNo
Enumeration DateSeptember 15, 2014
✔ NPI 1245631712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0000026
125 CRESTRIDGE ST, Fort Collins, CO 80525
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN A CLYMER BS
Behavior Analyst
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-9761
MS. PAMELA JEAN SPENCER NCC, LPC
Counselor (Professional)
125 CRESTRIDGE ST, SUMMITSTONE HEALTH PARTNERS
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
COLBY MILLER
Case Manager/Care Coordinator
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ILIANA THOMPSON BA
Case Manager/Care Coordinator
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MEGAN JOHNSON MSW, CAC III
Counselor (Addiction (Substance Use Disorder))
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-9761
IVAN D BLOUNT MS
Counselor
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-9761
DR. STEPHEN L BLAD PHD
Psychologist (Clinical)
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MRS. SARAH COPELAND RN
Registered Nurse
125 CRESTRIDGE ST
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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 John Wilde's NPI number?

The NPI number for John Wilde is 1245631712. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is John Wilde located?

John Wilde practices at 125 Crestridge St, Fort Collins, CO 80525. The listed phone number is (970) 494-9761.

What is John Wilde's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Wilde was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.