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OWEN WILDER
NPI 1255208096
Counselor - Mental Health in Shelton, WA

Active since October 17, 2025
307 W COTA ST, SHELTON, WA 98584(360) 205-8001 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Owen Wilder NPPES

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

OWEN WILDER (NPI 1255208096) is an individual mental health provider in Shelton, Washington and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1255208096
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameOWEN WILDER
Location Address307 W COTA STShelton, WA 98584-2265
Mailing Address307 W Cota StShelton, WA 98584-2265 · (360) 205-8001
Phone(360) 205-8001
Sole ProprietorYes
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1255208096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
307 W COTA ST, Shelton, WA 98584
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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.

ROBERT IRWIN BROWN III CNA
Nurse's Aide
307 W COTA ST
SHELTON, WA 98584
Mason County (503) 348-3767
LYNEAH MACELLA MACIEL RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
WESTON JOSEPH BROUSSARD II
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
JENNIFER L WHETSTONE RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
KRYSTEL NYSTED RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (847) 347-6251
MILONNA CLOSE LMHC
Counselor
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
CHELEACE RYDER LPN
Licensed Practical Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8011
DEVIN RAY ALLEN AAC
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001

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 Owen Wilder's NPI number?

The NPI number for Owen Wilder is 1255208096. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Owen Wilder located?

Owen Wilder practices at 307 W Cota St, Shelton, WA 98584. The listed phone number is (360) 205-8001.

What is Owen Wilder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Owen Wilder was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.