ELLIE WILDE PHD
NPI 1538736814
Counselor - Mental Health in Seattle, WA
About Ellie Wilde Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIE WILDE PHD (NPI 1538736814) is an individual mental health provider in Seattle, Washington and active in the NPI registry since June 2021. She has opted out of Medicare through March 19, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ellie Wilde Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2024 through March 19, 2028.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ellie Wilde's NPI number?
The NPI number for Ellie Wilde is 1538736814. It was assigned to this individual provider in the NPPES registry on June 7, 2021.
Where is Ellie Wilde located?
Ellie Wilde practices at 2012 NE 65th St, Seattle, WA 98115. The listed phone number is (425) 242-7187.
What is Ellie Wilde's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ellie Wilde enrolled in Medicare?
No. Ellie Wilde has opted out of Medicare through March 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ellie Wilde was last updated on April 23, 2024. 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.
# Ellie Wilde, PHD · NPI 1538736814
Mental Health provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since June 7, 2021.
## Identity
- **NPI:** 1538736814 (Entity type: Individual)
- **Enumerated:** June 7, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2012 NE 65TH ST, Seattle, WA 98115-6934
- **Phone:** (425) 242-7187
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1538736814) · Data from the CMS NPPES public registry.