CHARMAGNE WILDER MA, LPCC
NPI 1942855077
Counselor - Mental Health in Edina, MN

Active since August 06, 2019PECOS EnrolledAccepts Medicare Assignment
6363 FRANCE AVE S STE 200, EDINA, MN 55435(952) 903-1392 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Aug 6, 2019 (2 updates tracked since 2019).

About Charmagne Wilder Ma, Lpcc NPPES

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

CHARMAGNE WILDER MA, LPCC (NPI 1942855077) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (01574) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942855077
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARMAGNE WILDERCredential: MA, LPCC
Location Address6363 FRANCE AVE S STE 200Edina, MN 55435-2140
Mailing Address7137 Chicago Ave Apt 7Richfield, MN 55423-3363 · (320) 282-4625
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2019
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1942855077 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 MN · 01574
6363 FRANCE AVE S STE 200, Edina, MN 55435

Other Names 1

Former Name (1)Charmagne Derichs

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

Charmagne Wilder Ma, Lpcc 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 ID7113378621
PECOS Enrollment IDI20240109003957
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 9

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

Social Worker (Clinical)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Social Worker (Clinical)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Counselor (Mental Health)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Counselor (Mental Health)
6363 FRANCE AVE S STE 200
EDINA, MN 55435

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 Charmagne Wilder's NPI number?

The NPI number for Charmagne Wilder is 1942855077. It was assigned to this individual provider in the NPPES registry on August 6, 2019. The provider is also known as Charmagne Derichs.

Where is Charmagne Wilder located?

Charmagne Wilder practices at 6363 France Ave S Ste 200, Edina, MN 55435. The listed phone number is (952) 903-1392.

What is Charmagne Wilder's specialty?

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

Is Charmagne Wilder enrolled in Medicare?

Yes. Charmagne Wilder 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 Charmagne Wilder accept?

Health plans from Sanford Health Plan list Charmagne Wilder 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 Charmagne Wilder was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.