Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TIMOTHY M WILDER LPC
NPI 1568446144
Counselor - Professional in Roanoke, VA

Active since December 06, 2005
4656 BRAMBLETON AVE, ROANOKE, VA 24018(540) 772-8043(540) 772-8242 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Timothy M Wilder Lpc NPPES

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

MR. TIMOTHY M WILDER LPC (NPI 1568446144) is an individual professional provider in Roanoke, Virginia, licensed in Virginia (0701002845) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1568446144
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIMOTHY M WILDERCredential: LPC
Location Address4656 BRAMBLETON AVERoanoke, VA 24018-3437
Mailing Address4656 Brambleton AveRoanoke, VA 24018-3437 · (540) 772-8043 · Fax (540) 772-8242
Fax(540) 772-8242
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1568446144 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 VA · 0701002845
4656 BRAMBLETON AVE, Roanoke, VA 24018

Other Identifiers 7

Other253575VA · Anthem Bcbs
Other272041VA · Mamsi
Other272041VA · Alliance
Other465418VA · Value Options
Other199752VA · Managed Health Network
Other7335124VA · Aetna
Other2041553VA · Cigna

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Counselor (Professional)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Social Worker (Clinical)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Counselor (Professional)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Counselor (Professional)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Counselor (Professional)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Social Worker (Clinical)
4656 BRAMBLETON AVE
ROANOKE, VA 24018
Counselor (Mental Health)
4656 BRAMBLETON AVE
ROANOKE, VA 24018

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 Timothy Wilder's NPI number?

The NPI number for Timothy Wilder is 1568446144. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Timothy Wilder located?

Timothy Wilder practices at 4656 Brambleton Ave, Roanoke, VA 24018. The listed phone number is (540) 772-8043.

What is Timothy 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 Timothy Wilder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.