MARK J WILDE MA, LMFT
NPI 1801233192
Marriage & Family Therapist in Minneapolis, MN

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
525 PORTLAND AVE, MC 963, MINNEAPOLIS, MN 55415(612) 596-1223 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Feb 23, 2018 (2 updates tracked since 2018).

About Mark J Wilde Ma, Lmft NPPES

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

MARK J WILDE MA, LMFT (NPI 1801233192) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (2333) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Shoreview, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801233192
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMARK J WILDECredential: MA, LMFT
Location Address525 PORTLAND AVE, MC 963Minneapolis, MN 55415-1533
Mailing Address525 Portland Ave, Mc 963Minneapolis, MN 55415-1533 · (612) 596-1223
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 28, 2013
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1801233192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 2333
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
525 PORTLAND AVE, Minneapolis, MN 55415

Secondary Practice Location 1

Location 14570 Churchill St Ste 300Shoreview, MN 55126-2274 · Phone (612) 741-8286

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark J Wilde Ma, Lmft 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 ID9739530148
PECOS Enrollment IDI20240110003164
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.

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.

Marriage & Family Therapist
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Community/Behavioral Health
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Counselor (Professional)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Marriage & Family Therapist
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Counselor (Professional)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Nurse Practitioner (Women's Health)
525 PORTLAND AVE, HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN 55415
Psychologist (Clinical)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Social Worker (Clinical)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415

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 Mark Wilde's NPI number?

The NPI number for Mark Wilde is 1801233192. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Mark Wilde located?

Mark Wilde practices at 525 Portland Ave Mc 963, Minneapolis, MN 55415. The listed phone number is (612) 596-1223.

What is Mark Wilde's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mark Wilde enrolled in Medicare?

Yes. Mark Wilde 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.

What insurance does Mark Wilde accept?

Health plans from HealthPartners list Mark Wilde 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 Mark Wilde was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.