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ATHENA LEEANN WILDENBORG T-23-2498
NPI 1326812488
Counselor in Roseville, CA

Active since November 09, 2023
200 LA LOMA CT, ROSEVILLE, CA 95678(360) 214-4102 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Athena Leeann Wildenborg T-23-2498 NPPES

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

ATHENA LEEANN WILDENBORG T-23-2498 (NPI 1326812488) is an individual counselor in Roseville, California, licensed in Oregon (T-23-2498) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1326812488
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameATHENA LEEANN WILDENBORGCredential: T-23-2498
Location Address200 LA LOMA CTRoseville, CA 95678-2908
Mailing Address1122 Ne 122nd Ave Ste A102Portland, OR 97230-2082 · (503) 954-1890
Phone(360) 214-4102
Sole ProprietorYes
Enumeration DateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1326812488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · T-23-2498
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
200 LA LOMA CT, Roseville, CA 95678
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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 Wildenborg's NPI number?

The NPI number for Athena Wildenborg is 1326812488. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Athena Wildenborg located?

Athena Wildenborg practices at 200 La Loma Ct, Roseville, CA 95678. The listed phone number is (360) 214-4102.

What is Athena Wildenborg's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Athena Wildenborg was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.