ATHENA MARIE WILDMAN
NPI 1245999291
Counselor - Professional in Claremont, CA

Active since December 16, 2021
650 S INDIAN HILL BLVD, CLAREMONT, CA 91711(909) 399-2222 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Jan 17, 2023, Dec 16, 2021 (3 updates tracked since 2021).

About Athena Marie Wildman NPPES

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

ATHENA MARIE WILDMAN (NPI 1245999291) is an individual professional provider in Claremont, California, licensed in California (19703) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1245999291
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameATHENA MARIE WILDMAN
Location Address650 S INDIAN HILL BLVDClaremont, CA 91711-5444
Mailing Address22569 Climbing Rose DrMoreno Valley, CA 92557-6033 · (951) 254-0696
Sole ProprietorYes
Enumeration DateDecember 16, 2021
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1245999291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in CA · 19703 Licensed in CA · 13019
650 S INDIAN HILL BLVD, Claremont, CA 91711

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.

Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Licensed Vocational Nurse
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711
Counselor (Addiction (Substance Use Disorder))
650 S INDIAN HILL BLVD
CLAREMONT, CA 91711

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 Athena Wildman's NPI number?

The NPI number for Athena Wildman is 1245999291. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Where is Athena Wildman located?

Athena Wildman practices at 650 S Indian Hill Blvd, Claremont, CA 91711. The listed phone number is (909) 399-2222.

What is Athena Wildman's specialty?

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

When was this NPI record last updated?

The NPPES record for Athena Wildman was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.