THEODORE RYKER WILDER LCPC
NPI 1851911127
Counselor - Professional in Joliet, IL

Q: What is Theodore Wilder's NPI number?

The NPI number for Theodore Wilder is 1851911127. It was assigned to this individual provider in the NPPES registry on April 16, 2020. The provider is also known as Kaitlyn Nitsche.

Q: What is Theodore Wilder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Wilder was last updated on December 6, 2023. 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.

Active since April 16, 2020

3505 GREENMEADOW LN, JOLIET, IL 60431(815) 786-5853 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 6, 2023, Oct 19, 2023, Apr 16, 2020 (3 updates tracked since 2020).

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About Theodore Ryker Wilder Lcpc NPPES

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

THEODORE RYKER WILDER LCPC (NPI 1851911127) is an individual professional provider in Joliet, Illinois, licensed in Illinois (180015246) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1851911127

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameTHEODORE RYKER WILDERCredential: LCPC

Location Address3505 GREENMEADOW LNJoliet, IL 60431-4807

Mailing Address1147 Brook Forest Ave # 214Shorewood, IL 60404-8845 · (779) 707-0597

Phone(815) 786-5853

Sole ProprietorYes

Enumeration DateApril 16, 2020

Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration

NPPES CertifiedDecember 6, 2023

✔ NPI 1851911127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180015246

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178014535 (IL)

3505 GREENMEADOW LN, Joliet, IL 60431

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Other Names 1

Former Name (1)Kaitlyn Nitsche

Other Providers at the Same Location NPPES

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

WILDER THEORY PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

3505 GREENMEADOW LN
JOLIET, IL 60431

Will County (779) 707-0597

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 Theodore Wilder's NPI number?

The NPI number for Theodore Wilder is 1851911127. It was assigned to this individual provider in the NPPES registry on April 16, 2020. The provider is also known as Kaitlyn Nitsche.

Where is Theodore Wilder located?

Theodore Wilder practices at 3505 Greenmeadow Ln, Joliet, IL 60431. The listed phone number is (815) 786-5853.

What is Theodore 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 Theodore Wilder was last updated on December 6, 2023. 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.