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LUKE WILD LPC
NPI 1619414513
Counselor - Mental Health in Milwaukee, WI

Active since January 30, 2017PECOS EnrolledAccepts Medicare Assignment
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204(414) 383-9526(414) 649-2711 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Jul 22, 2021, Jan 30, 2017 (3 updates tracked since 2017).

About Luke Wild Lpc NPPES

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

LUKE WILD LPC (NPI 1619414513) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (6605-125) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2017).

NPPES Registry Identity

NPI1619414513
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLUKE WILDCredential: LPC
Location Address930 W HISTORIC MITCHELL STMilwaukee, WI 53204-3533
Mailing Address930 W Historic Mitchell StMilwaukee, WI 53204-3533 · (414) 383-9526
Phone(414) 383-9526
Fax(414) 649-2711
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017
Enumeration DateJanuary 30, 2017
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1619414513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 6605-125
Also ListedCounselorTaxonomy 101Y00000X · License 6605-125 (WI)
930 W HISTORIC MITCHELL ST, Milwaukee, WI 53204
Open in Google Maps ↗

Other Identifiers 2

Medicaid100064509WI
Other1023064086WI · Gliihc Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke Wild Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830693027
PECOS Enrollment IDI20250919002216
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Luke Wild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gerald L. Ignace Indian Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
930 W HISTORIC MITCHELL ST
Milwaukee, WI 53204
  • Reassigned Medicare billing, Wisconsin enrollment
  • 22 clinicians in this Medicare group
NPI 1023064086 (414) 383-9526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MRS. CLAUDIA H WEILAND RDH
Dental Hygienist
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526
ERIN ASHLEY CHRISTMAS NP
Nurse Practitioner (Psychiatric/Mental Health)
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526
GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526
LYDIA BIEHR APNP
Nurse Practitioner (Family)
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526
PAUL GINKEL M.D.
Obstetrics & Gynecology
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526
SARAH LYN DEANER LPC
Counselor (Professional)
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526
DR. ANTHONY L MANNILA APNP FNP-C
Nurse Practitioner (Family)
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 316-5103
MRS. MARILYN ELIZABETH LEFAIVRE P.T.
Physical Therapist
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204
Milwaukee County (414) 383-9526

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 Luke Wild's NPI number?

The NPI number for Luke Wild is 1619414513. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Luke Wild located?

Luke Wild practices at 930 W Historic Mitchell St, Milwaukee, WI 53204. The listed phone number is (414) 383-9526.

What is Luke Wild's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Luke Wild enrolled in Medicare?

Yes. Luke Wild is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Luke Wild's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Wild reassigns Medicare benefits to Gerald L. Ignace Indian Health Center, Inc. (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luke Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Wild accept?

Health plans from CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Luke Wild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luke Wild was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.