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BONITA JO WILDER CAC III
NPI 1548703564
Counselor - Addiction (Substance Use Disorder) in Colorado Springs, CO

Active since November 22, 2016
421 S TEJON ST STE 100, COLORADO SPRINGS, CO 80903(719) 308-5450 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, Nov 22, 2016 (2 updates tracked since 2016).

About Bonita Jo Wilder Cac Iii NPPES

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

BONITA JO WILDER CAC III (NPI 1548703564) is an individual addiction (substance use disorder) provider in Colorado Springs, Colorado, licensed in Colorado (ACC.0005334) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1548703564
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBONITA JO WILDERCredential: CAC III
Location Address421 S TEJON ST STE 100Colorado Springs, CO 80903-2139
Mailing Address208 Steven DrColorado Springs, CO 80911-1554 · (719) 528-3500 · Fax (719) 528-2433
Phone(719) 308-5450
Sole ProprietorYes
Enumeration DateNovember 22, 2016
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1548703564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACC.0005334
421 S TEJON ST STE 100, Colorado Springs, CO 80903
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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.

CORAIMA RAMIREZ TORRES
Social Worker
421 S TEJON ST STE 100
COLORADO SPRINGS, CO 80903
El Paso County (719) 424-5330
ERIKA HERRERA MSW, LSW
Social Worker
421 S TEJON ST STE 100
COLORADO SPRINGS, CO 80903
El Paso County (719) 424-5330
EWA MARIA GODINEZ LPC, LAC
Counselor (Professional)
421 S TEJON ST STE 100
COLORADO SPRINGS, CO 80903
El Paso County (719) 308-5450
TERESA M ORNELAS LSW
Social Worker
421 S TEJON ST STE 100
COLORADO SPRINGS, CO 80903
El Paso County (719) 424-5330

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 Bonita Wilder's NPI number?

The NPI number for Bonita Wilder is 1548703564. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Where is Bonita Wilder located?

Bonita Wilder practices at 421 S Tejon St Ste 100, Colorado Springs, CO 80903. The listed phone number is (719) 308-5450.

What is Bonita Wilder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bonita Wilder was last updated on May 6, 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.