DAPHNE DUFRENE WILDE MS, NCC, LPC
NPI 1871132886
Counselor in Ozark, AL

Active since December 23, 2019PECOS Enrolled
134 KATHERINE AVE, OZARK, AL 36360(334) 803-8667(334) 803-8666 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daphne Dufrene Wilde Ms, Ncc, Lpc NPPES

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

DAPHNE DUFRENE WILDE MS, NCC, LPC (NPI 1871132886) is an individual counselor in Ozark, Alabama, licensed in Alabama (4189) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871132886
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDAPHNE DUFRENE WILDECredential: MS, NCC, LPC
Location Address134 KATHERINE AVEOzark, AL 36360-1973
Mailing AddressPo Box 1245Dothan, AL 36302-1245 · (334) 712-2720 · Fax (334) 712-2727
Fax(334) 803-8666
Sole ProprietorNo
Enumeration DateDecember 23, 2019
✔ NPI 1871132886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AL · 4189
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
134 KATHERINE AVE, Ozark, AL 36360

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daphne Dufrene Wilde Ms, Ncc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Daphne Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
134 PREVATT RD
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 23 clinicians in this Medicare group

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

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 Daphne Wilde's NPI number?

The NPI number for Daphne Wilde is 1871132886. It was assigned to this individual provider in the NPPES registry on December 23, 2019.

Where is Daphne Wilde located?

Daphne Wilde practices at 134 Katherine Ave, Ozark, AL 36360. The listed phone number is (334) 803-8667.

What is Daphne Wilde's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Daphne Wilde enrolled in Medicare?

Yes. Daphne Wilde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daphne Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daphne Wilde reassigns Medicare benefits to Spectracare Health Systems, Inc. (Dothan, AL). 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 Daphne Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daphne Wilde accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Daphne 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 Daphne Wilde was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.