DR. VANESSA LASHALLE WILDER LPC
NPI 1912305558
Counselor in Redford, MI

Q: What is Vanessa Wilder's NPI number?

The NPI number for Vanessa Wilder is 1912305558. It was assigned to this individual provider in the NPPES registry on December 14, 2014. The provider is also known as Vanessa Lashalle Jones Lpc.

Q: What is Vanessa Wilder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vanessa Wilder was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 14, 2014PECOS Enrolled

9315 TELEGRAPH RD, REDFORD, MI 48239(313) 450-4500(313) 450-4512 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2022, Sep 18, 2018 (2 updates tracked since 2018).

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About Dr. Vanessa Lashalle Wilder Lpc NPPES

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

DR. VANESSA LASHALLE WILDER LPC (NPI 1912305558) is an individual counselor in Redford, Michigan, licensed in Michigan (640101048) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912305558

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameDR. VANESSA LASHALLE WILDERCredential: LPC

Location Address9315 TELEGRAPH RDRedford, MI 48239-1260

Mailing Address2677 Martin Luther King Jr BlvdDetroit, MI 48208-2562 · (313) 300-5045

Phone(313) 450-4500

Fax(313) 450-4512

Sole ProprietorYes

Enumeration DateDecember 14, 2014

Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration

NPPES CertifiedMarch 3, 2022

✔ NPI 1912305558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 640101048

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401011048 (MI)

9315 TELEGRAPH RD, Redford, MI 48239

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Other Names 1

Former Name (1)Vanessa Lashalle Jones Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vanessa Lashalle Wilder 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.

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.

MONET ROBINSON

Counselor (Mental Health)