MRS. MAYA A. WILDER MLIS, MS, LMHC, NCC
NPI 1942965991
Counselor - Mental Health in New York, NY
About Mrs. Maya A. Wilder Mlis, Ms, Lmhc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MAYA A. WILDER MLIS, MS, LMHC, NCC (NPI 1942965991) is an individual mental health provider in New York, New York, licensed in New York (014512) and active in the NPI registry since November 2021. She has opted out of Medicare through November 11, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Maya A. Wilder Mlis, Ms, Lmhc, Ncc 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 November 11, 2024 through November 11, 2026.
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.
NEW YORK, NY 10018
NEW YORK, NY 10018
NEW YORK, NY 10018
NEW YORK, NY 10018
NEW YORK, NY 10018
NEW YORK, NY 10018
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 Maya Wilder's NPI number?
The NPI number for Maya Wilder is 1942965991. It was assigned to this individual provider in the NPPES registry on November 4, 2021.
Where is Maya Wilder located?
Maya Wilder practices at 500 8th Ave Front 3 #1778, New York, NY 10018. The listed phone number is (631) 482-7378.
What is Maya Wilder's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Maya Wilder enrolled in Medicare?
No. Maya Wilder has opted out of Medicare through November 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Maya Wilder was last updated on July 3, 2024. 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.
# Mrs. Maya A. Wilder, MLIS, MS, LMHC, NCC · NPI 1942965991
Mental Health provider in New York, New York. Individual provider, active in the CMS NPPES registry since November 4, 2021.
## Identity
- **NPI:** 1942965991 (Entity type: Individual)
- **Enumerated:** November 4, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 014512 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 8TH AVE, FRONT 3 #1778, New York, NY 10018
- **Phone:** (631) 482-7378
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 11, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942965991) · Data from the CMS NPPES public registry.