NIC WILDES LMHC
NPI 1881732618
Counselor - Mental Health in Brookline, MA

Active since February 02, 2007Opted out of Medicare · through May 26, 2027
12 SEWALL AVE, BROOKLINE, MA 02446(617) 203-7082 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nic Wildes Lmhc NPPES

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

NIC WILDES LMHC (NPI 1881732618) is an individual mental health provider in Brookline, Massachusetts, licensed in Massachusetts (6217) and active in the NPI registry since February 2007. He has opted out of Medicare through May 26, 2027.

NPPES Registry Identity

NPI1881732618
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNIC WILDESCredential: LMHC
Location Address12 SEWALL AVEBrookline, MA 02446-5102
Mailing AddressPo Box 1321Easthampton, MA 01027-5321
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
NPI 1881732618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · 6217
12 SEWALL AVE, Brookline, MA 02446

Other Names 1

Former Name (1)Nicole Marie Wildes Lmhc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nic Wildes Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 26, 2025 through May 26, 2027.

Opt-Out Effective DateMay 26, 2025
Opt-Out In Effect ThroughMay 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
12 SEWALL AVE
BROOKLINE, MA 02446
Counselor (Mental Health)
12 SEWALL AVE
BROOKLINE, MA 02446
Social Worker (Clinical)
12 SEWALL AVE
BROOKLINE, MA 02446
Social Worker (Clinical)
12 SEWALL AVE
BROOKLINE, MA 02446
Clinic/Center (Mental Health (Including Community Mental Health Center))
12 SEWALL AVE
BROOKLINE, MA 02446

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 Nic Wildes's NPI number?

The NPI number for Nic Wildes is 1881732618. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Nicole Marie Wildes Lmhc.

Where is Nic Wildes located?

Nic Wildes practices at 12 Sewall Ave, Brookline, MA 02446. The listed phone number is (617) 203-7082.

What is Nic Wildes's specialty?

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

Is Nic Wildes enrolled in Medicare?

No. Nic Wildes has opted out of Medicare through May 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nic Wildes accept?

Health plans from Anthem Blue Cross and Blue Shield list Nic Wildes 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 Nic Wildes was last updated on August 24, 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.