EDWINA WILDER LPC
NPI 1417018904
Counselor - Professional in Springfield, MO

Active since December 12, 2006
1722 S GLENSTONE AVE STE TT, SPRINGFIELD, MO 65804(417) 881-2848(417) 881-2640 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwina Wilder Lpc NPPES

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

EDWINA WILDER LPC (NPI 1417018904) is an individual professional provider in Springfield, Missouri, licensed in Missouri (001832) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1417018904
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEDWINA WILDERCredential: LPC
Location Address1722 S GLENSTONE AVE STE TTSpringfield, MO 65804-1517
Mailing Address5336 W Farm Road 54Willard, MO 65781-8223
Fax(417) 881-2640
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1417018904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 001832
1722 S GLENSTONE AVE STE TT, Springfield, MO 65804

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
1722 S GLENSTONE AVE STE TT
SPRINGFIELD, MO 65804
Counselor (Professional)
1722 S GLENSTONE AVE STE TT
SPRINGFIELD, MO 65804
Counselor (Professional)
1722 S GLENSTONE AVE STE TT
SPRINGFIELD, MO 65804
Counselor (Professional)
1722 S GLENSTONE AVE STE TT
SPRINGFIELD, MO 65804

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 Edwina Wilder's NPI number?

The NPI number for Edwina Wilder is 1417018904. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Edwina Wilder located?

Edwina Wilder practices at 1722 S Glenstone Ave Ste Tt, Springfield, MO 65804. The listed phone number is (417) 881-2848.

What is Edwina Wilder'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 Edwina Wilder was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.